HomeMy WebLinkAboutMechanical 03-0360
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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:
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1 -f'f '-';:
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DATE TIME
3-3(PO
o EX/GRAD/FILLING
o COMPLAINT
>>-FIREPLACE RI
o FIREPLACE FINAL
~ASLlNE AIR TST
o
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rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ ~O..5'7 CALL FOR REINSPECTION BEFORE COVERING
Inspector: Y VV 1-1-8"'.....D "::~mer/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 .
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~n ~!~y. I PERMIT NO. A -? - 3& C)
3. Yellow Apphcant V J
(Please type or print and sij!Jl at bottom)
ADDRESS
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ZONING (office use)
I?J S/J
LEGAL DESCRIPTION (office use only)
LOT;fi-aLOCK ADDITION &.Lu~lf tJ~~
PID~S-- '3/-() 1'1-'/
OWNER
(Name)
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(Phone)
LJL/S- 9'37S-
(Address)
APPLICANT
(Name)
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u
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) ~ l {",
APPLICANTSIGNATURE~~/
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
-,
(Phone) G 1;/- ://v - 0;;:>(/6
DATE j-;)7~.J
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
~_~ DVent. System
~~P~KE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
(:-)
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3q.~()
.50
LfO -
lice Use Only)
Building Official
Paid ljtJ--- ReL/2/o 3 0
Date . By .~
Date 3-d-l-0.3 ~
' ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
This Application Becomes Your Building Permit When Approved