HomeMy WebLinkAboutMechanical 03-0245
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
Sf.HEDULED '3- ~ .O~
c::r~~l)
ADDRESS 15,C::;S (p
~~.~~&.o --:eCA
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.
n.~ 4-t:>
;j- 2l{~
o EXIGRADIFILLlNG
o COMPLAINT
~IREPLACE RI
,,,c;r-,",,,,Co'E FINAL
XC;ASLlNE AIR TST V:":jJ
o
~ ~l'~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ORK' CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL- "'fT't ;~FOR THE NEXT INSPEC110N 24 HOURS IN ADVANCE.
COD~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
CITY OF PRIOR.LAKE
HEATING/AIR CONDITION1NG/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO. (J3-;;'lf~T
J
(Please type or print and si~ at bottom)
ADDRESS
I673LP {1rmtsfdc,
~NING (office use)
;'i~R as 0
LEGAL DESCRLt'uON (office use only)
LOT
BLOCK
ADDITION
PID ~5~ 3&/7~ O()~"'9
(Address)
r l nd1A \10 h (]2J)Yv
- .-
i 660LP ~(Dk:-s i'd:-e:..
(Phone) (i6J - 2:21 r 2<fJS ~
OWNER
(Name)
APPLICANT
(Name)
FI~111t HEARTH & HOME
3BO i-I HWY 13
(Address) b :J ~ j j II b t ~ fit ~ 5513 'I
lie ,~D 11 .M..Ll1 ~A ~ (City) (Zip Code)
(Contact Person) ;,jijH€ ~U.'80- 158 ctY t1~hOne) iJ!;i2-9fj[J.-(1)~
~'l'PLICANT SIGNATURE.,8 DATE ~J~/r):z.,
L/, A;PLIC~NT PL~COMPLETE BEL<,jW If'
DNEW CONSTRUCTION D REPLACEMENT ~L TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone)
TYPE OF SYSTEM
REA TING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL J4; ~
I
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
5p/ '?(p
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
if}.5O
- : .50
4/).-
1
fiee Use Only)
Building Official
Date
pai~ L/(J, 00
Date 3-5-.3
Receipt Nl/t/COO
B '
~
U
1 Application Becomes Your Building Permit When Approved
,
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372