HomeMy WebLinkAboutMechanical 03-0616
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I S<J)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
l'. '9 JeJu.aJ.
SCHEDULED
~
DATE TIME
Co -'2 c..'O?,'
./
W,'ltis: e.k~l/
CONTR.
PERMIT NO. ? - (p ( G:,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.. .... ,/loA ,l.'-_ (j)_
1\A.~
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o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
8tGA~LINE AIR TST
JP' If c.. ~:U....J
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
./f CORRECT K ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
'REMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
TO- -~_._-~~-'""_"_
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
- ?
..:J. 2 Z. o~
~'~~n ~:~ I PERMIT NO. Q'l':> -0 / ILl
3. Yellow Applicant t..::> loR ~
.ease type or print and sign at bottom)
ADDREis ?--3 ( Lv J~
fJ&
ZONING (office use)
LEGAL DESCRLt' llON (office use only)
-.....-.
LOT
BLOCK
ADDITION
PID
(Address)
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(hl~ H/GK
is ~ I tAJ,lefs
...
(Phone)
OWNER
(Name)
APPLICANT STANDARD HEATING & AIR COND\1IONING GU,
(Name) 1~ST bAK~ ~TR~J:T
MINNEAPOLIS. MN 55408-2998
0176~4~~~SS) (City) (Zip Code)
{Contact Person) 1~ /1/; _ . fi-, ,(Phone) ) J
APPLICANT SIGNATURE ~ V~~ DATE e:>./~/()3
APPLICANdLEASE COMPLETE BE~OW
DNEW CONSTRUCT~1'j J D REPLACEMENT ~L TERA TIONS_ / /l,,;
FURNACE MAKE AND MODEL ~fGK- ~ FUEL ..R.t e~ OU
FLUE SIZE RETURN OPENINGS INPUT ~! ~ OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
~
(Phone)
(Address)
DWarm Air Plants
o Gravity
a Mechanical
Xf.,ir Conditioning
... ~Vent. System
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
FIREPLACE MAKE AND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39,50
Industrial, Commercial & Multi-Family
$39,50
$39,50
Estimated Cost $
U,:5
Building Pennit #
01-0~/v
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .~C;. ~
$ .50
$ ((O-t!f>
...LOffice Use Only)
Building Official
Date
paid.-ftl"' VV
Da~
~.'l-Z..ol
Receip! ljo, . /
~~?lD
By --J::.;
CJ
'his Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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