HomeMy WebLinkAboutMechanical 03-1089
CITY OF PRIOR LAKe
INspeCTION NOTIce
ADDRess
SCHEDULED
5~4(
WIrE nile
<:::t1'!."I#1r1-t ~
C(-1.-c:D
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OWNeR
PHONE No.
CONTR.
PERMIT NO.
a FOOTING
a FOUNOA TlON
a FRAMING
a INSULATION
a FINAL
a SITE INSPECTION
a PLUMBING RI
a MeCH RI
a WATER HOOKUP
a seweR HOOKUP
a PLUMBING FINAL
a MeCH FINAL
COMMENTS:
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-
-
':-
-
S -'1:&-r
a EJctGRAD/FILLlNG
a COMPLAINT
.er FIREPLACE RI
a FIRePLAce FINAL
<e GASL/NE AIR TST
a_
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
CODE ItEQUII1EAfE/VTs AIlE FOIt YOUIt PERSONAL /{E.-uT/{ of SAFETY/
WORK SA TISFACTORY, PROceeo
a CORRECT ACTION ANO PROceeD
a CORRECT Wo LL FOR RelNSPECT/ON BEFORE COVERING
-t--03--
Inspector: Owner/Contr: _
"'SNor,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I,Pink
2. Green
J. Yellow
~:,~ I PERMIT NO'n-:J~ I /loA>
Applicant ""("./~ <./0'1
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(Please ~e or Print and si2l1 at bottom)
ADDRESS
58t//5:AOYJ i10Jl1 -rrlY/ I
,
LEGAL DESCRIPTION (ollice use only)
LOT '1 BLOCK :?-- ADDITION
OWNER
(Name)
P M&1-
CO ~ IV~l~C' Y1
c~ t.j / -SA /J J1 f7 /J J1
(Address)
ZONING (offi" use)
IltfJ
,
PID.:J ,c;-/7Q- 0 /q-b
,
(Phone)
,
95/2 - t./4iJ~ 9'~
/ r' J ~
APPLICANT, ,A JJ ...J..f. cL U 00/1
(Name) F,./',er:;/(jIp, , ~(JV'/// TlJ(JJ1I/()/ (Phone) %,-1-<J'TU-/J?C8-
(Address) ,3 X"~() Ii}, I-! (I:.J. /3 &rl1</J/ '//~ Ill)) ~227 _
(Address). (City) (Zip Code) ,
(Contact Person) /J1 ~J"SS.tiL 7J. (Phone) 352-J<-"9d-/J7f:'8-
APPLICANT SIGNATURE ~Kcj(j ~/Ha,/' DATE IJVt/J./' ~ofIJ {}3
. t7 . ,. v.--
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
INPUT
HEATING OR POWER PLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
tt eE{ 1- tJ -6-1 () : JIil (~li .' t?- 'F- Stt!fI/JJYI,&-IIts-ff- 1;
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
OUTPUT
$39.50
$39.50
$39.50
Building Permit #
$
$
$
'3 tj '5'0
, , .50
'1{1-
lice Use Only)
This Application Becomes Your Building Permit When Approved r Paid L/ 0 _ _
I Date o_"\^_ ~
Building Official Date 0 0--
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receif/s 3 ~
BY~ I