HomeMy WebLinkAboutMechanical 03-1198
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
S"'4'12.
h!,,~.~~
DATE TIME
1- /8?c/3
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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pi WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: d a - (r./J? Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCF~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$1IOTI
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-Permit., .
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._..... L~~
-TestetwlSign.-u,. at1.-
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PDO"""
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*GaI Une
Pressurized
1._
PERFORMANCE TF!,>T
'P.".nt cn..~l./' () "4.
-~ .Percent CO /V
'-.nto, 'SlackToml'~~1,; 0
Finallnspec;tion Oata 9----JIJ..t13"
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
V'lease fv2e ornrint andsim at bottom)
ADDRESS
Date Rec'd
i~ ~::y I PERMIT NO./r.2.. -llqf!
3_ Yellow Applicant (/ "-.J I Uj
5'1.3:J
,co.: \ t" \ 0.. v..) tV
ShcH""" ~ " t"' L
. LEGAL DESCRIPTION (office use only)
LOT ~LOCK ADDITION ~A.A1Lv.r11.!:;),!J1..&:J
OWNER
(Name) .sh.'\~\e.,^ C..."',..,..__
.J .J
(Address) _~I../,~i:l ~'..t"'\o..h.h) <::::.he>......-<. \~L
APPLICA~ , /
(Name) . Y""c>\ L... V 4 ~-\--.... ~ tJ ('"
(Address) j t.. ~ i./ fk.bbJ (" BrDO K (2+-
(Address)
(Contact Person) ~VPr-P~~t~ I
APPLICANT SIGNATURE _ _~...., ~ 1-
~
I ZONING (office use) I
PIIb(S- /)3/- r103-'!
(Phone) 9s:J.- J.J4 7- 'XS/7
(Phone) 9S)-l./lj)- <;?// 0
frior LAf~ I17N ss,~
(City) (Zip Code)
Q,2-LllJ)-RI/D
9-/ D -()()() ~
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ..J2!qlliPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL R v...~.... \-.6. ""\ FUEL A./ III
FLUE SIZE t:" RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWann Air Planls
OGravity
g.Mechanical
DAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
~ot Water
o Radialion
o Special Devices
o Other Devices
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'lmee Use Only)
Chis Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
'Z 91 SO
.50
'If). On
I Paid Lf{j.---
I D" -/0-\3
24 hour nolice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
1
PLEASE NOTE:
Air Condilioner Unils
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receia~ 3 'It
By (J..
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