HomeMy WebLinkAboutMechanical Permit 03-0954
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
c.., ~-
. {~tr
-- .
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
C(-lj-D';
L-rr,}! +
rf..\~
CONTR.
PERMIT NO.
:s~ <(Je(
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ~;;NAL
o EX/GRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~R~, ~L FOR REINSPECTION BEFORE COVERING
Inspector: [! /If' 1 rl{~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS I!i.ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY/
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CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
-; 21. Q3
~IL~ 4l.,/~
::~. ~~. I PERMIT NO. fJ?j'.c;L/fJ
]. Ydl.ow ^IlPIJl:Mt , U,;;) V7~
(please me or win! and sillll at bOllOm)
ADDRESS
5/;;2"1{
(lvc-rl, 1 ~;vey
~oo.d
J
ZONING (offie. .se)
LEGAL DESCRIPTION (ollie< use o.ly)
LOT
BLOCK
ADDlTION
PID 75.0/$. ~ oz. - ()
OWNER
(Name)
LO'leV\
'S\-e Ve '"
(Phone) (C\ ~d) '-l L/ (- 3091~
(Address) SId-. ~ ex- ed i.~ R \ ,"'P r \<.oo..d ~ rio, Lo-.\C.e.
5S?'I'")
APPLICANT
(Name)
1;ef118n-.;JJCeiftfll:,,~.r . I. (phone)
~a. m :~~.:' (City)
=7~
(Contact Person) ")0 An Y\ . (phone) 'S"->fV'\e.
rAPPLICANTSIGNATURE _~*-.~e.t-.. ~- \-\~~~., nATF\-Il(-03
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS . INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
. OWann Air Plants 0 Stoam
OGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning So--"""s..; /"-."1 0 Special DC1Iioe.s
OVenl. System P,S \i"y>.It!~ OOlhorDC1Iicos
(Address)
(Zip Code)
PL.EASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required'Side Yard
Setbaclc.s
F)REPLACE MAKE AND MODEL....,
FEE SCHEDULE
Industrial. Commercial &: Multi-Family 1% of job cost Residential. Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & A/e (New CanstRlctian) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ :.::J."'7 fX) . oa Building Pormit H 03-0954-
'e. u.. Only)
i< Application B.co..... Your Building Permit Wilen Approved 11'al~.0 0
Da~ I Date7 '7/.0.\?
BullcflJl~ OmC'iaJ .ro V !-....:;>
24 hour notice tor all inspections (951.) 4'l7.985Vax (952) 447-4U5)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 2)Q.50
$ .50
S 40 ~I?
I Recei)lr~SlJ7 /
I By 1:f1--
I
]
I
TOTAL P.01