HomeMy WebLinkAboutMechanical 03-0447
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'( - 4Y 7
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
SC!;'EDULE'D
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRE CTION AND PROCEED
DATE TIME
o EX/GRAD/FILLING
~MPLAINT
FIREPLACE RI
FIREPLACE FINAL ()
~ GASLlNE AIR TST f I:
o
CITY OF PRIOR LAKE
,..
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and sign at bottom)
ADDRESS
Date Rec'd
4--/7-03
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I. Pink File PERMIT NO
2. Green City ./} ? ~ () ...I A 1
J. Yellow Applicant V.,J ~
~dL1 J//UOI/0 Dr
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LEGAL DESCRIPTION (office use only)
3 c; fle;
LOT
BLOCK
ADDITION
ZONING (office use)
PIQ:?5 -:J .f?J- (J d i - tJ
(Phone) LjLI/7- Co C; 13
OWNER
(Name)
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U IVde rfe .,-t:h
(Address)
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(Address) . Q../)/U.y--
(/ V (Address)
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(Phone)
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(City)
(Zip Code)
(Contact Person) (Phone)
\PPLICANT SIGNATURE ~ t::Z>'V ~ ~ DATE "5/- /0- oj
AP;L~NT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
_ DAir Conditioning
::=-- D'~
~ FIREPLACE MAKE AND MODE~)
'-- ----'
FLUE SIZE
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Building Permit # t).J - () 4-4-;
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3 9,~{)
$ .50
$ qt). 00
.lice Use Only)
This APPlim,rmes Your Building pe;:" ~hf: ;pproved
Building Official ~ .
, I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Paid 4-0 .. tf?J
Date4-!f 1 ~
Recei~.f- ~ /5'
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