HomeMy WebLinkAboutMechanical 03-0870
DATE nME
CITY OF PRIOR LAKE 7~1J
INSPECTION NOTICE SCHEDULED
ADDRESS 1('Jo, rYlAvtf ..vi /v
OWNER CONTR.
PHONE NO. PERMIT NO. ~-g-72>
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: A/~
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~~~CALL FOR REINSPECTION BEFORE COVERING
Inspector: i!..f 1-)...(-(f)Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
. .. ... .... ..-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO 3 /1~
2. Green City . 1\ 3- II
3. Yellow Applicant {/
(Please type or print and si2l1 at bottom)
ADDRESS
16205 FRANKLIN CIRCLE SE
LEGAL DESCRlt'uON (office use only)
LOT ~ BLOCK J ADDITION
OWNER
(Name)
ZONING (office use)
'HPAf)t7rrJ: DIOr)~/ f3~PID dS-- 16-7-Qof-b
· I t - . ) J!,'iJIJ" :::2Y'rt
I I lAA<J J
ELDON & LINDA RECKARD
(Phone)
(Address)
16205 FRANKLIN CIRCLE SE
APPLICANT
(Name) RON'S MECHAI'U.CAI.. TN~.
Qi:\?_LlLl7_kQ~1
(Phone) Qi:\?_LlLli:\_s:li:\s:li:\
(Address) 12010 OLD BRICK YD RD SH~K()P'F'F Ml\.T i:\i:\~'7Q
(Address) (City) (Zip Code)
(Contact Person) ~ . J A (Phone)
\PPLICANT SIGNATURE ~ \-fK ~ DATE (,.Q. -rz.,C;-0?1
APPLICANT ~EASE COMPLETE BELOW
DNEW CONSTRUCTIO.N Ql'REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL ~YfLQ.,Y ?,~ \ v.~U FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
DGravity
::J Mechanical
, ~ir Conditioning
· JVent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3q . r;V
'1b . oil
ffice Use Only)
This Application Becomes Your Building Permit When Approved
Paid / J ___
r..-/ t) J
Date 3
'7-/-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt NOL/L/ e-oL/
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