HomeMy WebLinkAboutMechanical 03-0936
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED
7-/7
ADDRESS
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CONTR.
OWNER
PERMIT NO.
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PHONE 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
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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6'ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:.Jt1f 7,. ttrO) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNon
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CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
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~.:e:n ~:~ I PERMITNO.()O_O~01
3, Y.llow ApplIcant . 'J '7- .
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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OWNER
(Name)
(Address)
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c. 'e' eo. J '" r '-'1./ 0 0 j
(Phone)
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APPLICANT
(Name) L,k~o.>.l!<t
(Contact Person)
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(Zip Code)
(Phone) 1-fL1 ,,- ~ J J 1
DATE "J..... ~ (,-- 0).
(Phone)
(Address)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
t C DNEW CONSTRlACTION 0 REPLACEMENT ~AL TERA TIONS
fTTRlT '.BE MAKE AND MODEL r 4-.() ^ -e fA- 10 -- 0 d.. '1 FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Plants
o Gravity
~eChanical
ir Conditioning
Vent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Estimated Cost $
Residential, Additions & Alterations
Residential, AC Only
Building Permit # {)J /' (;9..1 &:,
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .:sC).SO
$ .50
$ 47). uV
.JOffice Use Only)
~his Application Becomes Your Building Permit When Approved
Date
Paid 4-tJ "m
Date'1, ,S', ()~
By
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN.,55372
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