HomeMy WebLinkAboutMechanical 03-1187
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q~~
ADDRESS
/47/3
UI1I-e-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?-I/Yl
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o j:OMPLAINT
h FIREPLACE RI
o FjBePLACE FINAL
~ASLlNE AIR TST
o
COMMENTS:
~{-rfK~'C. 0 I' _
j
,\e/
\1' \
1 .
L- '-"
(J) D'
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~ALL FOR REINSPECTION BEFORE COVERING
11 ,'I'/' /1 _ 1/_D>-
Inspector: 'V .....\ J.-Q Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
t471~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDUL~D . (jj~~/tl1
VtM~/' I/JAN?
CONTR.
PERMIT NO.
3-U~7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
~ FIREPLACE RI
A 0 FIREPLACE FINAL
rt ",e G~S~ AIR TSl
o ...J-5 Id! F ~.
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~.~~~~~ ~~\AlOt .
. .w/'1II~~k ("-/~ "
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- '7-~ 1~~ ~ ,~h~L
c.,9JJh/(M.-v-_ 4: ~.'rt.yJi.)~<
tM- ~e-dk. FP.t~l';XQ ( h.MN ;-
~ 4{!Ll,~
o WORK SATISFACTORY, PROCEED
~ C}>RRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
l../ -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
Il'iSNOT.l
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
9. 8. q]
~. :~n ~!~. I PERMIT NO. OJ .-llg 7
3, YeUnw Apphcant
lPlease type or print and siRIl at bv~;.u~)
ADDRESS
ZONING (office use)
/'l7/3
(7n n -It!!V' inJ1 II ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z5':J06 . oj 7. ()
(Address)
~:1fi3
t~/r'ls 011/
(J-a '1 f ,of/' ~a Y1 (JJ
(Phone) 9'~;;.. -1/$- 5Gg 2.
OWNER
(Name)
APPLICANT / LI I~ iJ/A
(Name) f"rt~ /0< P./ {7 ea (" Y fI ~ up in (/
(Address)~50 OJ, H~ /'5
( dress)
(Contact Person) fJ11J/ II'~ SOL
APPLICANT SIGNATURE _fJ~{l-~~-
(/
APPLICANT PLEASE COMPLETE BELOW
[3&EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone) -9"5 ~ - K:gtJ -I) 7s8
.~~ ~ /Lilf () tilJ.jJJ ~ t;;~ 3""5/
(City)! (Zip Code)
(Phone) q 5"- - 8' ~ff""" () "74
DATE !;:eLJf~ 9/;, (r12
,
TYPE OF SYSTEM
REA TING OR POWER PLANT
OWarm Air Plants 0 Steam PLEASE NOTE:
OGravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Eneroach into
OAir Conditioning 0 Special Devices Required Side Yard
OVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL ~1-JAJ-(;bLI11f)f4/ " tRlJ(J(J 712--oak.
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # 1;) -I' t; 1
HEATING PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Jq, r()
.\50
4-t). du
'mee Use Only)
fhis APPlie~I~~ur Building p~;.~)en Approved
r- Buii 'IJt~~ Date
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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