HomeMy WebLinkAboutMechanical 03-0915
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
PERMIT NO.
]-C{rS'
OWNER
PHONE NO.
DATE TIME
SCHEDULED K -It'
f,ruy c!..,j--( M a / (
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
{;4.S 1-, ..... ...
o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r~.
It/
C
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lospector. M ~--11-~ner!cootr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
u<sNO"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
PIU O/U7/1t{7 /YlflZA-./
;~" ~:~ I PERMIT NO.", ,,>_,,.q/-I
), Yellow Applicant U / V .:::>
or . tandsi at bottom
7D/U/I./ IV /-W'L-
LEGAL DESCRIPTION (office use ouly)
LOT
BLOCK
ADDITION
Date Rec'd
/_ It), ce
ZONING (office use)
J$3
I OWNER
(Name)
(Address)
(Phone)
PID
0<'0.'>
, 1 "-
()
to
APPLICANT
(Name) 11,( r::..,p vVl......d,&i~ .'c.... \
(Address) 13 g'). \ +.-Jvslr.....\ .f'"rl<:
(Address)
/5/ vd
(Phone) 7~3-ss-o '-u'?cJ7
(City) (Zip Code)
(Contact Person)
~'""
(Phone)
DATE
\PPLICANT SIGNATURE
7-10 -?'S
E COMPLETE BELOW
PLACEMENT 0 ALTERATIONS
FUEL
APPLICANT PL
ONEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiatioo
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
$64,50
Residential, Heating & AlC (New Coostructioo)
Resideotial, Heatiog Only (New Constructioo)
Residential, Additions & Alterations
Residential, AC Only
Building Pennit # IJJ -01/5'
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
:fe}.5lJ
,50
.fO.f/l)
llice Use Only)
PaidA'~
c.rv. t/V
Dat,. 10. UJ
'is APp~rt~ Becomes Your Building Permit When Approved
Building Official Date
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Enc,oach into
Required Side Yard
Setbacks
$39.50
$39,50
$39.50