HomeMy WebLinkAboutMechanical 03-0320
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~~ ::l.~ -a1. I 0: ~
ADDRESS
J C:;~ 4'2...
Xsl~ I2&-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0';3 -0 ~'20
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
o EXIGRAD/FILLlNG
o COMPLAINT
)d ElREPLACE RI
AFIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r
D~
"
t. -
~ ~
--
{ t r
~ ~~n I \ ~
~ - fI/J/JI1"" ......
. /" (
J:'tl lP
l
/
/
rRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORlliE ,LL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
C L~ 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~JblREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
,_on
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED. ~~2.7-o~ 1/:30
ADDRESS J E>Bt{ ~ Ic:; (~- \J t-ec..:u ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
]-5~O
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
o EXIGRADIFILLlNG
o COMPLAINT
tXI FIREPLACE RI
o FIREPLACE FINAL
~ASLlNE AIR TST F~R
o
COMMENTS:
\. hCl.\M.4?
t:'W",ck
\ '^ o..v.A. Co.- U ~~~ \'"..elv..~{.-I.'aA.
(\ ~ -e C4J l' tAA. C'~~
A~rte;t () 'h
CK f,.,~ G4$ I Qo..~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~ORn. T Vi}. CALL FOR REINSPECTION BEFORE COVERING
Inspecto . ( \ ~ Owner/Contr:
CAL.: 44~ FOR'THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
,/
CITY OF PRIOR LAKE .
,
HEATING/AIR CONDITIONING/FlREfLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
Date Rec'd
Pink File
Green City
, YeHow Applicant
PERMIT NOj3- 3dL>
(Please type or tlrint and sil!;tl at b _ __ _.)
ADDRESS
/58-!i)._ ;KSJilhJ i/II!/(,J f)natL
ZONING (office use)
K ISJJ
LEGAL DESCRu'uON (office use only) /J . rd
LOT, ";LOCK / ADDITION dd.evnd () ~ 3
PIDa5- dJ.~~ OO$'-D
(Phone) ~~-~~- /7/0
OWNER fJ1 t { j ,/J..
(Name) . Cir;.:J r/~f~~
(Address) 59 ~~ ;::[:r (oVl/1 !J/eVJ AdJ,
APPLICANT \ t /J il J.l J _ J / . I'),-r ~/) A
(Name) E1.t-P- ~'-O!=-O - ./teaY' rllJ 170 J1/I~ (Phone) '"'l..7d- (J ~(/ -cJ7~
(Address) - ,~ g6-r) Uj, lilA/a 13 ,6P.YJ4S'&'j/~ d21JV.5.s-337
- (Address) (City) I (Zip Code) .
(Contact Person) JfJ1 Q, Js..., ~. - (Phone) 'l?~ -~.d 7!17..5?1
APPLICANT SIGNATURE &le. ~';", tJ a_~~ fJ,..; DATE /J{p rei, 1c9 fJ, ~ rcJ:5
, - (/ - ,
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWann Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent System
HEATINGORPO~RPLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
1/ ea i -11/ - G}O · j1IrqJ ~J ;' SL 750 If< s . jliC tiN ec'f-1/in W
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64,50
$39.50
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
:3 t(...5O
':;0
HO ,t:'O
'fice Use Only)
Building Official
Date
Paid } I 00
l-f'{)l
Date.-3 _ d.O-;3
Receipt NOLjLj 0/1
By
fF
Chis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245