HomeMy WebLinkAboutMECH 08-0381
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 155 '&4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ ~ULATION
~~~~AL
o SITE INSPECTION
COMMENTS:
(
1\ (~K
DATE TIME
SCHEDULED $/ ~ J
k?,-b, ~
q-
CONTR.
PERMIT NO.
8 - <:> ~B I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o ..PREPLACE RI
P ~PLACE FINAL
~ GASLlNE AIR TST
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o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRE~RK. CALL FOR REINSPECTION BEFORE COVERING
losoodo" !~ Ow"."Co"'"
CALL 44~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTl
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~e~ ~:~ I PERMIT NO. () 8 . 03 VI I
3. Yellow Apphcanl
{Please type or print and siv:n at bottom'
ADDRESS
/55 3l( /2,j)(;u/Vjo;J; fIVe ,5. e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
ZONING (office
use)
PID
OWNER
(Name)
(yAIL '-1 ~~
(Phone) a;r('l.y'17' "4'1i
~lQ.2~,D~ l~f\(Li\1 ~ \-to~E (Phone) G~I- Co33-JQ~2.
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2/ 00 t- A I II- \J I L~ ttvl..:. f'J ( ~ J'- VV1 J.-J
Jz>;A:J]\ () ,11 (City) (P5'I, (p 3)- ~Z6yd2.
v O-J-J.' (phone)
V I/n- DATE (p /~ ( .Jd
APPLICANT PL~ASE COMPLETE BELOW
(Address)
\'S)';) '"'l \L~ 0 6~ \Vto0' M
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SL'
APPLICANT
(Name)
(Address)
'Contact Person)
I APPLICANT SIGNATURE
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENlNGS
TYPE OF SYSTEM
o ALTERATIONS
FUEL
OUTPUT
o REPLACEMENT
INPUT
HEATING OR POWER PLANT
OWann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices -
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL ~0,_&w (2 A)(r -I r I )0,lA)r~) \)
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
S39.50 minimum
Residential, Heating & NC (New Construction) S9950 Residential, Additions & Alterations
Residential, Heating Only (New Construction) S64.50 Residential, AC Only
Estimated Cost $ Building Permit #1~ 4<.
HEATING PERMIT FEE $ ~ 1.} V
STATE SURCHARGE $ . .50 /I \
TOTAL PERMIT FEE $ ~(J V
.,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
paidt:O. (l)
Dateltl.g, () ~
Buildin2 Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
~9.50
$39.50
$39.50
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