HomeMy WebLinkAboutMechanical 03-0355
DATE TIME
CITY OF PRIOR LAKE "1-27-0)
INSPECTION NOTICE SCHEDULtrO
ADDRESS I.c;5'--i<:; (l eel ("'of flel
OWNER CONTR.
PHONE NO. PERMIT NO. 3.-~5S--
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 EX/GRAD/FILLING
~COMPLAINT
FIREPLACE RI
o FIREPLACE FINAL
. ASLlNE AIR TST
COMMENTS:
FP ftT
.\0'
\'
~......rv
n\\
l.J
JfWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: rJ17 ~).. 7-0 ~wner/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
..
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3~Z,&.()]
L Pink
2. Green
3. Yellow
~::y. I PERMIT NO.6Y-03S.s-1
Applicant
(Please type or print and silm at bottom)
ADDRESS
CJ/t~ .se-
/S:5-~ ~/,.J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
. (Phone)
ZONING (office use)
PIDZ5-/S/-0(iJ- 0
APPLICANT"2 ,... ...-~ \7 ,.. _ ~'\
(Name) y J~ \"')'lbVe Y-I-~J aCe.
(Address) _' 2 LX' ('A) Rc.l 4j W
(Address) (City)
(Contact Person) A~IM... ~L4-<iJP ~ (Phone)
APPLICANT SIGNATURE A../rrtJJI./t.11 /-,61!itJott-- DATE _.5st.'< -.t~-O~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
(Phone)
qn1-- %i~-117q
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # (jJ - O'J C:;S-
FLUE SIZE
INPUT
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
/Z,ay 3t .;)VX"
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3CJ.E;V
$ .50
$ 4-<J.CQ
lice Use Only)
This Appl~i~"jf~,es Your Building Permit When Approved
{VI // ~ ]. t-!J ~ (JJ
Building Official Date
Pa~ _ C/V
Da~ ' z,(, . 07
.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
(Zip Code)
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. a
~J 9'7 1
By ;C,
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