HomeMy WebLinkAboutMechanical 03-1116
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I~~ do-fJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIllE
SCHEDULED 1/~3 ./~
vi-v~~~ ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
JJ:~INAL _
,-nib
o EXIGRADIFILLING
1 0 COMPLAINT
pr ~ FIREPLACE RI
o FIREPLACE FINAL
II 0 GAjlLlNE AIR TSl--
fie' ~. A-o "'" <n=>...5\
~RKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . ~ . Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
,..,.on
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
P lz.,..O]
; :i;~, ~::y I PERMIT NO.n? _11/'-
3. Yellow Apphcant V~ W
(Please tvve or orint and silm at bottom)
ADDRESS
ISOlP6 YI1flhl+Ii1A RL
ZONING (ollice use)
LEGAL DESCRIPTION (olliee use only)
LOT
BLOCK
ADDITION
PID ZS. Z53. 010. 0
~':'~R J.< 0-. V ~ Tbn y Ii V- ; ../.; IJ i
. (Address) ) s-d to 0 ma 11 i +n Ll Q cL.-
APPLICANT r ' II A j I _ , L-.M' ,., f?J/J r7:J
(Name) ~f +tC4..^ J n -It - tfV ,!.,LV ) (Phone) q)2 - 'O"7.D -07 ~ ~
(Address) ~ ~ 50 lid. (A~ 17:> & 1\ VI $. vd ~ity) (h I\J S;~~7
(Contact Person) i]Ll..a} i ~ () r (Phone) (//\;:). "'iJ 0 ~ ' ;)0 7 cj
APPLICANTSIGNATU~ [lH"elt~ fdfa(. DATE f{' :?-I-O :<::
- v '--l
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT ~TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone)
1t.f7- /j 17
TYPE OF SYSTEM
HEATING OR POWER PLANT
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
.]J,o. r- n-3!o
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL ~()()"T1< J
Industrial. Commercial & Multi-Family
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit # ~1'--S () o:r - / II (P
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$-
.~q_5D
1..(U .llD
'mee Use Only)
Building Official
Date
I paid4f].OO
I Date
8.U.CJ)
Receipt ~o. 4-5 w1" 1
B~ 1
"f/
fhis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372