HomeMy WebLinkAboutMechanical 03-0679
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SCHEDULED
W'U/tJ.3
DA. Te nME
o FOOTING
o FOUNDATION
o FRAMING
o INSULA T/ON
o FINAL
o SITE INSPECTION
OWNER _
PHONE NO.
PERMIT NO.
COMMENTS:
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:-
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~RK SATISFACTORY, PROCEED
o CORRECT ACT/ON AND PROCEED
o CORRECT WORK. CALL FOR REINSPECT/ON BEFORE COVERING
InSPector: - ~ _ Owner/Contr: _
CALL 447-9850 FOR THE NEXT INSPECT/ON 24 HOURS IN ADVANCE.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MeCH FINAL
o EXlGRADlF/lllNG
o COMPLAINT
/!! FIREPLACE RI
o FIREPLACE FINAL
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CODE IIEQUIIIEMENTS AIlE FOil YoUII PEI/SONAL HEAlTH .( SAFETY!
-
INSNC'TJ
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CITY OF PRIOR LAKE
HEA TlNG/AIR CONDlTlONINGlFlREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3, Yellow
~:~ I PERMIT NO. /U3"'/ -'701
Apphcant U (... lc? I 1 _
,Please tvt>e or print and sl... at bottom)
AW!Y'SS \
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT 2f BLOCK I ADDITION
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(Address) :2.f:?Lo C\
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PID ,9.5-,?,gS-OOt!....O
C1r:;1-~4b-1188
(Phone)
APPLICANT
(Name)
(Address)
FIRSIOE HEARTH & HOME
385U W HWY l~
BURNSV I LLE MN 55337
II c #2mtJ:IJ~ 1
~'H 95Z-B~O-
(Contact Person) _ _ " - . (Phone)
APPLICANTSIGNATUR 'lil/l/ jj - ~- DATE 5bQ//52..
/. APPLIt"ANT ~EASE ~MPLETE BELO~ 'r./
ONE\\' CONSTRUCTION 0 REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(Ciry)
(Zip Code)
OWarm Air Planls
OGravity
o Mechanical
OAir Conditioning
OVenl. System
FIREPLACE MAKE AND MODEL \.UoJ 1l..A' ()
o Steam
o Hot Water
o Radiation
o Special Devices
o Olher Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
SL-~~-~ -{' .....
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$3950
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
?-JJ.cJ)
.50
'fh' -
1iee Use Only)
,his Application Becomes Your Building Permit When Approved
Building Official
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Date
~Paid J i __
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