HomeMy WebLinkAboutMechanical 03-1134
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Lt'1L-1
Oqfc..wc.ro c! Co, :...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIOty? I _
ArFINAL {/(J /v~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
I /
/ /'/
I I I (, 0 ~
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'--------
----
DATE TIME
10 'k.t ~dJ
3-(j9~Lcf /131
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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'WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~ WRK, C FOR REINSPECTION BEFORE COVERING
Inspec1or: t Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INmOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~"'--"~--"'--I
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
/11 a; Jf/ Ft'L e.. 63 -dQIZ-
~. ~e~n ~::y PERMIT NO. 03 -11'31 1
3. Yellow Applicant ....~
(Please type or print and sign at bottom)
ADDRESS
.:fr~r
()A/( (\' f'>)~;
elf'"'..
ZONING (office use)
/2/
LEGAL DESCRlt'uON (office use only)
LOTI1BLOCK ~ ADDITION
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tir )}~~5-;)JlO- 0;).6-)
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name) 'T./{LIJ
(Phone)
'(5.2. -
~ ~ .-? 5'k.rJ.
(City)
5
,.1~..2 - ~ o~.
.#-FAVN'(j- ~ Aile
(Address) /v A)c;r 7.// t/J4LL~v /?CP
(Address) r
(Contact Person) /)AV/:O A e ..5 Ire: t:;i~ h (Phone)
APPLICANT SIGNATURE k;d #.//'*-u~ A --") DATE
APPLI{ANT PLE~SE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~~3L3
- (Zip Code)
8hk ! c%
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
~(o A I ~ 6/..^
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
/C"bAJ Co r
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39,50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39.50
$ .50
$ 4O.0U
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid t/O. -----
Dat?f/~
Repgo33 r
By a-
U )
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
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