HomeMy WebLinkAboutMechanical 03-0462
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
s,Jr
ADDRESS
L.((7C l.kC~-l"V\ r?VV\~
V
CONTR.
OWNER
PHONE NO.
PERMIT NO.
3 - 4'~ ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI @ 0 EXlGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP ~FIREPLACE RI
o SEWER HOOKUP D. F~PLACE FINAL
o PLUMBING FINAL ~ASLlNE AIR TST
o MECH FINAL
o
COMMENTS:
.p, ~5 ATY
at
//
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L- ~\
"
rt WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: vvP ~"-~"-07 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
nEATING/AIR CONDITIONING/FIREPLACE PERMIT
I. Pink
2. Green
3. Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
i;; 70 fJ/J1Jel1 /JaJ -r;~.
LEGAL DESCRIPTION (office use only) ~ . /
LOT6L.BLOCK I ADDITION /)/JJ)k ~..e dN2
1.''''7- ~ I
O-a-V' ef1 (
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OWNER
(Name)
(Phone)
(Address)
Date Rec'd
PERMIT NO'~3-4&~
ZONING (office use)
;e I sfJ
PIDcl5- ~-OC>;).-()
?5~-~P&~@3~
APPLICANT. /J II .LJ tI J /, /') r>-
(Name) ~1'l'e,,,,)I(YL I'GV'FJ\ ~OW1R~ (Phone) '-1~~-~ 9tJ-tY?5'f.1
(Address) -:S(57) /1). {...J U/(1I 1_< 8IArJ1Sur/IO_IfJ1Jfj S--S33?
(Address) C/ (City) (Zip Code)
(Contact Person) !'?lfl / / :r,~ (Phone) r?7d. - W .-() 70-g
APPLICANT SIGNATURE Q-~ t1 7ia:JbA' DATE AOJl1'V fl:J. I {()3
APPLICtT PL;ASE COMPLETE BELOW.' -
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVent. System
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 #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$-
$
3'1.0)
.50
ua-
lice Use Only)
"'ltis Application Becomes Your Building Permit When Approved
paidIJ L/tJ, .",--
Date t.(-;;:J.-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
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
ReceiUl/o5?'
By ilc-.J
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