HomeMy WebLinkAboutMechanical 03-0942
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CllY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'1..{77~ bl-&dQ(~
CONTR.
OWNER
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
A-I
'1 -
COMMENTS:
DATE TIME
7- )-'1
.1- 141-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: V vr- 7 -}A.rOl Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION~4 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
- --' '-1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
7. /(P. 03
L Pink File PERMIT NO
2. Green City . 0:3 - ~4 2-
3. Yellow Applicant V7'
(Please tvDe or orint and sien at bottom)
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ADDRESS
IL'llS
0~&.1e Ave.
ZONING (office use)
SL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
J~'hJ.<)
~
P ekrS-n'l
(Phone) cr5l-WO- tJ~~7
(Address)
APPLICANT
(Name)
eb:rn~~ Hp';:ltinQ & Ale, Inc.
12481 Rhode Island Ave. So.
OS,,'-:na.-MI\I !=\~~7A-1122
"'-{Address) (City)
(Contact Person) <:) lJ-..,L 1 7- t _ . <1 _ (Phone)
APPLICANT SIGNATURE ~Cl,~(TYVY1 DATE 'I-tQ-03
UAPPLICANT iiEASE COMPLETE BELOW
DNEW CONSTRUCTION Itil REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone)
(Address)
(Zip Code)
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
DGravity
o Mechanical
~r Conditioning
JVent. System
o Steam
I/)..I'I y1..(f)( 0 Hot Water
V ~ ' . tl 0 Radiation
tf5 X A rS - 021 0 Special De.vices
Z- \0 N 0 Other DeVIces
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $:2 a oW t tJ:)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # C13 - 0 q4Z-
39 I 50
. .50
qOrQO
$
$
$
(Office Use Only)
'his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid A D
~O.O
Date7 /~.03
Receipt No.
4-5JJ5~
By ~.
C/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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