HomeMy WebLinkAboutMechanical 03-0514
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
s-/?
OWNER
rSZ1 JI1A.,.a~6t1) i/~IA' ~ r
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
3-5"'/l-(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI /" 0 COMPLAINT
o WATER HOOKUP@,.EYFIREPLACERI
o SEWER HOOKUP A. .P"'F!REPLACE FINAL
o PLUMBING FINAL .. . 0 GASLlNE AIR TST
o MECH FINAL A 0
./ t
/ I /Iv
~ l U---
F~~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W9/7LL FOR REINSPECTION BEFORE COVERING
Inspector: 1I1~/ 5- r3 -{}Jowner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~. :~n ~!~ PERMIT NO. /)':2_ C-/I'
3. Yellow Applicant U::J J f
(Please type or print and siRJJ, at b~..u~)
ADDRESS
C;-L-/O (). VJ.1 /J / /,
-../v (~ y ,Ilf eD&C)Q) VI e tLl
ZONING (office use)
~_'f--, S-5~
PU-,D
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDdS.... 335- O/8'-()
[}Lo c La ~ (Phone) t25~-C/0" ~s.t/r2
jJlead f2lj)U/e.u.J ~f S.c.
APPLICAN~., ,I' .......' A1 [/ f L ~J f l__
(Name) P' r2-':ULV '2. 17e/Jy II ,ftDm e (Phone) 95~-P9/J--07.58
'3 ti?O UJ 34/11" 13 ~,'jb.JlfJ/. ~.53'J
(Addre~. (City) (Zip Code) .
(ContactPetSon) ~e- It 1S'~ 'A 11 . /1 (phone) ~t;;.;z.... R. 9(J ~/J?~!
APPLICANT SIGNATURE ~_~--1L)f fJ(1'J:1 tM \ DATE ./f/l1 f \( c1~tt t13
APPLICA~ PLEASE COMPLETE BELOW
~NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(lJAJ1ld
~(aY
OWNER
(Name)
(Address)
(Address)
TYPE OF SYSTEM
HEATINGORPO~RPLANT
OWarm Air Plants 0 Steam PLEASE NOTE:
o Gravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
OAir Conditioning 0 Special Devices Required Side Yard
OVen!. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL Jffea -J--nJ- 6-10 fYltJJ e.! f S L 75"0 7I<..s;...c:, :J n.< *:1
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations $39,50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39,50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
c3 9.60
J ~7. .50
"f v"""---- .
'lice Use Only)
Building Official
Date
Paid I/o r------
Date c!J - j- .3
ReciJJl~'C; ()
~
V
fhis Application Becomes Your Building Permit When Approved
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372