HomeMy WebLinkAboutMechanical 03-1200
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
q C( '3'-1 ;/A~Vl~:>oh
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
k/L
"
COMMENTS:
DATE TIME
ID-Is-C9
S"'r-
7-/),00
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-------
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t-r, ""'-
I I Le.-
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~ORK' CA FOR REINSPECTION BEFORE COVERING
I~r -V).
Inspector: (0- _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
09/26/02 THU 15:52 FAX 6124474245
CITY OF PRIOR LAKE
I4J 003
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGJ..u'tEPLACE PERMIT
Date Rec:'d
~ ~ ~~~ PERMIT NO. 03..... I' "\ A-7\
), ytl~ """"" <::7J 1.../
CPleue ~ or Mint and sia at boIrom)
ADDRESS
Lftt;tf M'NN~A S7~-r
LEGAL DESCRIPTION (oft'i" use only)
LOT~BLOCK J.ADDITION0 (> };A1/{oJ.dJ~ fllr~
OWNER
(Name)
(Address)
MA-1Z ~
~~
LA v' ~... l.-I ,.J
MIN"'~f7(A ?T
~ (phone) ~z.. &.t't1....:?0'+b
(Phone) {;t;;} -~-7z, "Z::1-
~l~7 ~ ~"toN tz2L17.-
(Address) (CIty) (Zip Code)
GtfAP ~ (Phone) ftJ:;;) -~IP- !l.-?;-7-
~~~ DATE &j,/~7l~
APPLI~~T PLEA.BE COMPLETE BELOW · ,
ONEW CONSTRUCTION . n_~ REPLACEMENT 0 AL TEM TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
o Stearn
o Hot Water
o Radiation
o Special Devices
C] Other Devices
APPUCANT
(Name)
MA":k ~cMhJ, CA1....-
111 G1'.kf
(Address)
(Contact Person)
APPLICANT SIGNATURE
8warm Air PIIiUlt3
Gravity
o Mechanical .
~ir Conditioninc
:rVent. System
FIREPLACE MAKE AND MODEL
FEE S....l'ltJDULE
Industrial. Commerclall!l. Multi.Family 1 % of job cost Residential, OIlS Fireplace
$39.50 minimum
Residential. Hcatilll & AlC (New Constl1lctlon) $99.50 Residential, Additions & Alterations
Residential, Hcatine; Only (New Construction) $64.S0 Residential, AC Only
Estimated Cost $ 17 z.t;. 00
Building Permit #
HEATING PERMIT FEE
STAlE SURCHARGE
TOTAL PERMIT FEE
?f') . <;p
.50
t.+O . fliL
$
$
s
(omet Use Only)
This Appliution Becomes. Your Building Permit When Approved
Paid I/o _ -
Date9 -/6.- '3
Building Officill
nate
1. hour notice for all insptC!tlons (951) 447-9850, f.", (9S1) 447-4145
ZONING (oflktuse) .
PID~!5'" OD3-00f1.5
PLEASE NOTEi
Air Conditioner Units
Cannot Snc:roac:h into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
R~eirrS3 Sf)
By 57----.
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