HomeMy WebLinkAboutMechanical 03-0221
DATE TillE
CITY OF PRIOR LAKE 7-/ / /(}t (/ 0
INSPECTiON NOTICE SCHEDULED
ADDRESS LlOC5" (~v clu,,r
NNER CONTR.
PHONE NO. PERMIT NO. 7- ')..l- (
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP ~IREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL ~ASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: pp
@ Yl~d "h) ('Y' . (. 1.1...( ell J-5""" #0> ;
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
., CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: KJ - }(r07 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
~
DATE
nilE
SCHEDULED
::?-/:i'
ADDRESS
Lf-()(. r f3au 061"~ 7J-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECT/ON
COMMENTS:
'1k ;..s- de r
,
CONTR.
PERMIT NO.
S - )..).. I
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINALm ...erGASLlNE AIR TST
o MECH FINAL lY 0
CfL
,]
rV
/l \!J" . \.1' J
.).. / I \J
~ 'J
/"
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~CALL FOR REINSPECT/ON BEFORE COVERING
Inspector: V Vr y 13 ....D"7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/JII!lNOn
Date Rec'd
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
1. Pink File PERMIT NO I \
2. Green City -00 3 - .:l ""\ ,
3. Yellow Applicant (;7\-0-
(Please type or print and sign at bottom)
ADDRESS 10h5 CUIA C/O,' re /('<:1: I tV€-
ZONING (office use)
'R 15D
LEGAL DESCRLr uON (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) ';Dc) n
. (Address) 40'" 5
HCtrJ/e!
f';t:HA CIa,' {-e --r;-a." J
PID~5- D<6'C} ~ O(j~-O
(Phone) 95' d'" tJ t..f 7.. ~ '-I fc; 7
/Ut~
APPLICANT . 0 I' J -
(Name) ma<;'.fe,~ l,?o.( r::-I-Iei~ (Phone) ({l5J~71f~' g;~ 7.17
I
(Addressdd1.o3 JU~ rock n.aht- rJ<J. 5u.;'1e =# d AJorth St- rh"" II rn.. (\f\, .f:~/d:;
(AddressY (City) (Zip Code)
(contactperson)J)Otl <?ecz,ichi J),' . (Phone) iP5/-74K'-?{;;} 7'7
APPLICANT SIGNATURE.,...~ '~ Ci. .J~ DATE d -,;;2& -0 3
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 'gAL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL m t'i; eshc.
'""
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ !bOO.Ou
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
87) vrR =5, 3 rR IJ}
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"'7 C-I -
",:;) /.~a 0
.50
40.00.
'ice Use Only)
Paid -1L
VP I./() j} 0
Date OJ -/;.g'-8
I !;..,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
This Application Becomes Your Building Permit When Approved
Building Official
Date
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Rece~~796
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