HomeMy WebLinkAboutMechanical 03-0855
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~\~ ~~J.e..~
OWNER ~ONTR.
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
COMMENTS:
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DATE TIME
7 -IS--OS
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3- 8::>~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAiLlNE AIR TST
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRE K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
FOR THE NEXT IN~PECTlON 24 HOURS IN ADVANCE.
INS1IOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
, '.. .'T'.'..'-....".....-...
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or orint and si~ at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT3~LOCK 3 ADDITION
.
(flJl&.o ~ .
OWNER
(Name)
I. Pink File PERMIT NO R 6
2. Green City . .-:::J ..... L
3. Yellnw Applicant <:::J::J
h?a rk V I1ndreo...,. Ha /.1> ka..--t
IS 3".r Co 4 Ie. I?;dc,e /<l tJ
, 'V
(Address)
APPLICANT
(N ame) 1;) u.. A I : ry 1-1 '( 0.. --I ,'" a cf
(Address) I ~ &:) I ~ 'lIen-ftt ra. a::,f
(Address)
(Contact Person) R 0 .J-e, 1- iPp Ze:t L
A.PPLICANT SIGNATURE ('j(~ ~~
/l " r
ft~1
~
(Phone)
r'r ,'or J..~ ke
(Phone)
Shr.xko Pr->e
(City)' ,
ZONING (office use)
12l
PIDaS-<33:;;?- ()8~1{)
In,.} SS37.2..,
,
"'I 0 3 - I J J l)
m~ S-S- 377
(Zip Code)
. (Phone) ~l>.3 - / / / i!J
DATEi::, . ;s -D3
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT [B'1\.L TERA TIONS
FURNACE MAKE AND MODEL FUEL
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
~ Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
OUTPUT
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~(s,?O , DO
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
.3q.n>
.50
4o.tr1L
paidftl4<<J
Datet,... ?J..... ~
i
$39.50
$39.50
$39.50
ReceiV/tlv--'!
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