HomeMy WebLinkAboutMechanical 03-1315
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3l{t(, W;!/41d b#'tu~,Vt
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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----
DATE TIME
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3 -13;;,)
o EXIGRAD/FILLlNG
[J COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GASLINE AIR TST
o
~
----
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.
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~ORK SATISFACTORY, PROCEED
~ ~'ORRECT ACTION AND PROCEED
o CORRECT 7~~ FOR REINSPECTION BEFORE COVERING
Inspector: f 1'(/ Owner/Contr:
CALL 447-9850 FOR THE NEXT IN~PECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
tlEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and si~ at bu.,",,~)
ADDRESS
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Wd(uw &un !if.
~
Date Rec'{\
I. Pink
2. Green
3. Yellow
~~~. I PERMIT NO. /1'3--,.2 J~
Apphcant U dl P
ZONING (office use)
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LEGAL DESCRIPTION (office use OnlY). --J:P'? 5\
WT BWCK ADDITION JA/ ia.5' tfJ -r <<Let aR L ~ PID;;' S- lOt" -{V/-O
&~e~R ~b ~ fiaMd7> ~rdi(h (PhOne)~)~~
(Address) 3Lf<[;(o Wt'I/(fJo kadt /'r/.
FIRSIOE HEARTH & HOME
3850 W HWY 13
BURIISV III E MN 55337
II C I2lJHtg;~ 1
(Contact Person) .'HOI~952-890,~ (Phone)
-\PPLICANTSIGNATURE _'y/4.LJ I~?< DATE 1u.tfl/;?->
( AP~LI~iNT P~EA~OMPLETE BELOW .
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
APPLICANT
(Name)
(Address)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
JW NGlp
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Gffice Use Only)
(Phone)
(City)
INPUT
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
f b -(;yt1/Ylft1
Building Permit #
$
$
$
~tI) I g;
.
.50
~
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid tJ(),-----
Dat~~~.q_ ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
(Zip Code)
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
ReceiPLf~ '311
BY~
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