HomeMy WebLinkAboutMechanical 03-0359
CITY OF PRIOR LAKE
INSPECTION NOTICE
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ADDRESS
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CONTR.
OWNER
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:
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DATE TIME
t..t- 7-0"3
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: M L1-7-rJ3 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
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HEATING/AIR CONDITIQNINGIFIREPLACE PERMIT
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APPLICANT a.. ., t U41 ^ . q~/} <7c / / 1"\7\5
(Name) Vlt(InSV / 'c ,. J' * N' C (Phone)./ ~ -0 -1'1- Quu
(Address) IdL\<Z \ ~ck-. ~LO-f\cl ftvL, 5: (CSM!.ty)' ~ %376
(Address) cJ (Zip Code)
(Contact Person) .s-J\A...L..l.CZ::..- (Phone) ~
. PPLICANTSIGNATURE ~ U. ~ DATE
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
I. Pink File
2. Green City
3. Yellow Applicant
(Please type or vrint and sign at bottom)
ADDRESS
/1-/15 Y {; (Itj I, Ylj CY.
LEGAL DESCRJ..t'uON (office use only) ()
LOT BLOCK ADDITION ~M;t: 3i>
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OWNER
(Name)
LaY(l/f
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(Phone)
(Address)
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TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
lo Pc- L<- ~ 0 0 Other Devices
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FIREPLACE MAKE AND MODEL
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$3~ I iJo
$ I l .50
$ ,V l CXJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~ I/o ----
Dat~ .. ;n- .3
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Date Rec'd
PERMIT N~... 359
ZONING (office use)
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PID;?6 "'950-1)'/?(- ()
fp (2- Cj 40 - I <P31
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PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt NOol/tfCf3b
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