HomeMy WebLinkAboutMECH 08-0197
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
JlILt7i Yu\\}~
-
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:
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TIME
'8 - J97
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o ~RK SATISFACTORY, PROCEED
YCORRECT ACTION AND PROCEED
o CORREC~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: / V ,h Owner/Contr:
CALLJ...7ka5~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
1. Pink File
2. Green City PERMIT NO. /) ~ - 107
3. Yellow Applicant I J CJ I
(Please type or print and siltn at bottom)
ADDRESS
/t't,!t, 77 !1JLA+k
ZONING (office use)
{l\Je., <;It
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Contact Person) ~ ~~
&; ~r ~ r~ St,..-t~
.I ~ t, (J~ llA. .\- h. Lt... ~ <;./
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Pdr.JJe.. ~c- K. ~+-
(Address)
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(Phone) qL~ ).-t!lJ)-JM)
OWNER
(Name)
(Address)
APPLICANT
(Name) er ~ or
(Address) ~ S- R ~
(Phone) QK;1-l../ 1../)- ~l1D
~r J~k~ mN~';;.<;'~7~
(City) (Zip Code)
(Phone) ~~ ;)-4'1 )-l?iJD
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~EPLACEMENT 0 ALTERATIONS
, FURNACE MAKE AND MODEL ~ - t;) Rort-\ar U~~1-') FUEL
FLUE SIZE RETURN OPENINGS INPUT ?L>MCL OUTPUT ~~./ l)OCJ_
TYPE OF SYSTEM
HEATING OR POWER PLANT
,BWann Air Plants
DGravity
o Mechanical
Q\ir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o 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.
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Industrial, Commercial & Multi-Family
$49.50
$49.50
Estimated Cost $ I :JSOC., DC Building Permit #
HEATING PERMIT FEE $
ST A TE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
! T)rl. J!~o. n B~O~eSY our Building fermi/When Approved
(tJ:!b, ~ 11/?s/(}f5
V Buifdini6fficial I t Date
.50
/2 C;, ~-(]
Date I ,j
l-{ 25j~8
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Rec~(;jo
BPb
Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372