HomeMy WebLinkAboutMECH 07-0017
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
t;L{2 If
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
~~
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
8- PLUMBING FINAL
~ MECH FINAL
I () (I,
C\~ ~.t'\ /)
~.-
DATE
rj1Ja[)
S;~
TIME
8- crJ/7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
ftWORK SATISFACTORY, PROCEED
o CORRECT A~AND PROCEED
o CORREC~9RKI CfLL FOR REINSPECTION BEFORE COVERING
Inspecto(. / J/ Owner/Contr:
...,
'447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTl
G lo D 3"3 --2.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~:n ~:~ \ PERMIT NO. 01. ODI7
3. Yellow Applicant
(Please type or print and si2l1 at bottom)
ADDRESS
~ Y l- ~ Con r OJSi: f'J e
LEGAL DESCRIPTION (office use only)
. ZONING (office use)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) bo \r-..J V\J ,QJ Sc--h
(Address) 6 L-( 'L '-{
(Address)
ConVOj S,-t
SEDGWICK HEATING & AIR CONDITIONING LLC
8910 Wentworth Ave Su
Min.n;.2C?Iic::, ~AN ,:;~?()
(W2)ese 1-9000
f\Je
Pn'o{ II
(phone) qjl- Lj 0 Y - IS o'f
s "53r 2-
APPLICANT
(Name)
(phone)
(City)
(Zip Code)
L
(phone)
(Contact Person)
APPLICANT SIGNATURE ~) fQJJ'v- R
\j
APPLICANT P ^SE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL U>>1 V1 D'i. AJ 10 \ M~V (",Oc... D q I FUEL (;(t 5-
FLUE SIZE RETURN OPENINGS INPUT q 0/ 000 OUTPUT D's, S be
A\O_Jl
~
DATE
l/8/CJ6
DWarm Air Plants
DGravity
..ff Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
D Hot Water
D Radiation
o Special Devices
D Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % 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 $ 'J'::>::5 O. () 0
Building Permit #
HEA TIN G PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
39..5"6
.50
'-(() 00
(Office Use Only)
Buildinl! Official
Date
Paid 4-0. 00
I Date L 14-.. 0 V
,
ReCfflP) No.
I By/
/.
6
~~127
.
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372