HomeMy WebLinkAboutMechanical 03-0801
DATE nME
CITY OF PRIOR LAKE I~ts~
INSPECTION NOTICE SCHEDULED
ADDRESS 4KU OCi~J ~ S'r
OWNER CONTR.
PHONE NO. PERMIT NO. '].-&-01
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASpNE AIR TST
o SITE INSPECTION o MECH FINAL 01fV
COMMENTS:
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Yif
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
l/VSJ'iOn
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
(Please type or print and sie;n at bv..u~)
ADDRESS
4B~Lo ~Y-0LU-. :SC. SL
LEGAL DESCRIPTION (office use only)
LOT
x
BLOCK
ADDITION
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OWNER .
(Name) ~\H-r"\ ~e)
(Address) L\-Bdlo -~i:n..... r2:::L. ~
APPLICANT . .
(Name) c.B1\~ ~~aF)
(Address)(o~ ~ W. Ht.n~~,i " -=#=- D..o
(AddresS) .,
(Contact Person) ~ L.....:::r-h\~
/--\PPLICANT SIGNATURE OCL~ 72.. U~
I. Pink File
2. Green City
J. Yellow Applicant
Date Rec'd
PERMIT NO. (}'?J- g-O)
ZONING (office use)
p.~
PInd5-00t~O~I{-o
(Phone) q~-4L.\O - '7 I (YL-
(Phone) a<;d.~\ - 'fcAq
SS\ J.,~
(Zip Code)
~\D \ y, \ \ (".J
' (City)
(Phone) ~rr\P)
DATE ~-C::D
APPLICANT PLEASE COMPLETE BELOW
QJe DNEW CONSTRUCTION 0 REPLACEMENT KI AL TERA TIONS
FURNACC MAKE AND MODEL ~LU LcL : \ \Q ,\u Q3r\ (~Il~-toh "t FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
::JVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
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 & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ \ \ ~ ~~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
flee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit #
$
$
$
3Q.Sa
.50
40?
Paid 1I(J I/"
Date &' 1C6~ -?
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
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