HomeMy WebLinkAboutMechanical 03-0356
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
14~1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(1) t/u a (11. -h (II\.
.fY.4 &N'\"""'#\
DATE TIME
SCHEDULED
]-,,27
aVc~ \f.-(
CONTR.
PERMIT NO.
s-~s-c.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~D EX/GRAD/FILLING
. 0 COMPLAINT
. IREPLACE RI
o FIREPLACE FINAL
ASLINE AIR TST
o
.
(/( Cl ~4N~Ct'
ar~d
/\v
~\
I
V
, f6
, (),:
0,
! WORK SATISFACTORY, PROCEED
. CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: i1P Owner/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 '
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
3 zcp-'03
1. Pink File PERMIT NO
2. Green City ./)7_ ^ 7;::::;/-
3, Ye\low Applicant (...LJ lAj.........1(?
(Please tvDe or orint and sign at bottom)
ADDRESS
1 L.( , \ \ B \'-'.t. '"' '. r-J T rDo.. ~ \
LEGAL DESCRu" uON (office use only)
LOT
BLOCK
ADDITION
ZONING (office use)
PID
(Phone) '151 - &..j o'Z - 0 (, be
OWNER
(Name) T oe..\
(Address) 1 4 1 \ \
(.o-..r\.w r-~ ~~+
J
R \ v.. p_\, ,r-J T r tko, \
APPLICANT l
(Name) GlblJollj u'c--r..\.\... i- l-b........r L......L.
(Address) "2r~"U? 2'30"-'" st F:..
(Address)
(Phone) 'l S2 - 4 t,1- " I o~
t>1'; or ~k.t 5537Z
(City) (Zip Code)
(Contact Person) ~h\lt. W ~jh+ ~.IJ.. (Phone) q Ii L - Z-C'J2 -,2.31
APPLICANT SIGNATURE /;~ LJlJ- DATE 3/-z.." IQ3
/ /' -
APPLICAiNi' PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL ~+ - N - 610
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FLUE SIZE
L. 000 Co ()..lV"lp
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50 Residential, Additions & Alterations
$64,50 Residential, AC Only
Building Permit # OJ -Q35 to
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3GJ, S"O
.50
Llo.() t7
.
lice Use Only)
~~;, APPIi&7>>1::es Your Buildiug ;rm.;:, w~~ Approved
. Building Official ' Date
pa~o. crV
Date I?
'3. Z-(P ;0........)
J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
c;:J
$39,50
$39,50
ReceiP:tJ q ~ 0
By ~f-.
()