HomeMy WebLinkAboutMechanical 03-0805
CITY OF PRIOR LAKE
/ INSPECTION NOTICE
~
SCHEDULED
D~TE TIME
lr '21.01
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ADDRESS 1 S ,2. "\
F~ A\J.e...
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:
1-8cf)
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
15 GASLlNE AIR TST ~.~
o
/
hORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECi~ALL FOR REINSPECTION BEFORE COVERING
Inspector: f Owner/Contr:
CALL 9L FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MEN:r.s ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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CITY OF PRIOR LAKE ·
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~::y I PERMIT NO.'/)-:2_ G)f~
3, Yellow Applicant "'/ J (5V';P
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
15723 FREEMONT AV NW !<.-/SP
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK 3 ADDITION ~d .1).).IblV SLF--
PID as- ;}..5J.- O/(?--()
OWNER
(Name) 'l'lUW 'R1lOm!
(Phone) Qc)?-440-c)Oi:ic)
(Address)
15723 FREEMONT AV NW
APPLICANT
(Name)
RON'S MF.CH~NT~~. TN~_
(Phone)
Q~?-4.45-Q~~5
12010 OLD BRICK YD RD
(Address)
(Contact Person) L \ "'lc:icA~ ' (Phone)
\...... l.-
_APPLICANTSIGNATUREO'tClO.. ~ DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(City)
55379
(Zip Code)
(Address)
SHAKOPEE
~"I~,O"6
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3A.bO
$ .50
$. U.O.OO
,
V- \,t~ V\ \ ~ fjos,
~ ~ roxt(f
Estimated Cost $
2>DO
Building Permit #
lice Use Only)
Building Official
Date
Paid II tJ ' -- Receipt No. tI 'I 90 'ir
Date ~ _I P-()2.1 By ~
~
IS Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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