HomeMy WebLinkAboutMechanical 03-0904
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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DATE TillE
SCHEDULED
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CONTR.
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PERMIT NO.
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALl FOR REIN.PECTlON BEFORE COVERING
Inspector: j J(" 1- ~J" b! Owner/Contr:
~!,!. "7-9~50 FO,R THE NEXTJ!W'ECTlOli 24 HOYRS IN ADV A@E,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALI11 & SAFETYI
/1iSIIon
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
1. Pink File PERMIT NO ~ r
2. Green City . () 3 - '/I
3. Yellow Applicant U
ZONING (office use)
'.6..6..39 I.YaNS AV !=;E
LEGAL DESCRIPTION (office use only)
LOT L/ BLOCK;;t ADDITION
P~SD'
PID ;/5 [)/1- 030-C>
OWNER
(Name) BARB DTTRRKOP
(Phone) 952-447-1178
(Address) 16639 LYONS AV SE
APPLICANT
(Name) RON IS MECHANICAL. TNr-
(Phone) -9..5. 7 - 44 '5 - R 5fl c:;
12010 OLD BRICK YD RD !=;HAKQEEE
... (Address) (City)
(Contact Person) ~~ 1\1 1, (Phone)
. .-\PPLICANT SIGNATURE ~ ~ ~ ~ DATE
APPLICANT PLEASE COMPLETE BELOW
. DNEW CONST~CTION lStREPLACEMENT D AL TERA TIONSA /1"
FURNACE MAKE AND MODEL '\<UU;O LLl1(JKo':t FUEL IV VI
FLUE SIZE RETURN OPENINGS INPUT :.rb, f'>OU OUTPUT OOJ 000
TYPE OF SYSTEM REA TING OR POWER PLANT
(Address)
1)5.379
(Zip Code)
-:::} - 1.; 0-"3
,~arm Air Plants
. Gravity
. echanical
~ir Conditioning
Vent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
_6000
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 6"\:q)
$ _.50
$ "\CY tii )
.lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid t/{),---
Date 7-~-3
Recet/4f? L-/~
By t)V
u
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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