HomeMy WebLinkAboutMechanical 03-0902
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED t-tf,oJ
ADDRESS J5;l4 S- ...J; W~ Po- ~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"J- 902
o FOOTING
~o FOUNDATION
RAMING
INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS~INE AIR TST
J( l4e
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC 0 K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CODE REQU 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
T
w
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and si~ at b~~~~_.)
ADDRESS
\ S aL\S JeHc.x-s Phc:..~ NW
1. Pink File
2. Green City
J. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT3BLOCK 3 ADDITION W~~ /.5-!-
OWNER
(Name) ;JeCl..r'\\\le... (f ~ t-\D~f'f"O..r\f"'\
(Address) I S~4'::J J"effa-s ?~ ..JLJ
APPLICANT
(Name) un\-) ~ ~ _,-r-h~\de:)
(Addressf ()q SO LJ. I ~ U, -i::b... ~ J. -=#=- lOP
(Address) 'I
(Contact Person) _ 'C)Q.X'\ l..Lrt'\ \et"6
~PPLICANTSIGNATURE iDCLrY!J /l.. ~
Date Rec'd
PERMIT NO. t) ~ -<{O+
ZONING (office use)
RI
PIDc9S- dz-(J3o~6
(Phone) 6\ ~- '/Y 6 '--~ ('\ I ~
(Phone) ~--L.l3I-'7t::(:jq
Qj:pJe lfJ' J 11~ SS I d,4
(City) (Zip Code)
(Phone) q 5~ - 42>1- 1a:lq
DATE '7- ;;2.-03>
APPLICANT PLEASE COMPLETE BELOW
CU C- DNEW CONSTRUCTION 0 REPLACEMENT ~L TERA TIONS
F:;~~.~MAKEANDMODEL ~\ ill rL ~ \CI\ (uQmB cd.,) FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
@.ir..Conditioning
OVen!. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ c!J05lJ~
1
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit #
$
$
$
3Cl .!;;D
.50
4D~
Paid tJtL---
Date C 3
'f -l\ ...-
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
.T
$39.50
$39.50
$39.50
ReceiPl./t; <l U 9
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