HomeMy WebLinkAboutMechanical Permit #03-1252
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Ij/O,
OWNER
CONTR.
PERMIT NO.
~-IU2-
PHONE 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
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
4111JFIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/fOTl
CITY OF PRIOR LAKE
BEA rING/AIR CONDITIONINGIFJREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/03
Date Rec'i
_.,.,.~,
~ ~~~ I PERMIT NO. 03- I J rJ .
Yellow A,phcw . /0'- J(7\ I
['7/0 7 l1I~e//1eSs
//'~r-/ SE/
I LNING(~
zo. 370. 0 1%,01
PI~~-1>';( 5>>/- 01
liLEGA.~ DESCRIPTION (0_ "'" onl;) , ' ,
LOTtBLOCK I ADDITION -d~l!uffP)d
i OWNER /\ j) //
: (Name) ue'1.~ O/1/Je/CjL
(Address) /7/0 z. 0" '/c/~/le!.~ ~
(Phone) ~~tf/Y&-/..7~o=-1
I
I
I
I
I
?~ e /rl.-.~
X.Ko/\t".~ 4ve -
(Address)
I (Contact Person) If. c-t
-- APPLICANT SIGNATURE . ~
-,....-
I APPLICANT
i (Name)
I
(Address)
(;c;. s
:20 s::- (:;-
_____ (Phone) YS-';' - Y 6..2..-:27 :s c:, .
._~t/I. .536 7"'y
(City) (Zip Code)
APP CANT PLEASE COMPLETE BELOW
I ONEW CONSTRUCTION ~ 0 REPLACEMENT ----:-J:8:ALTERATIONS
FURNACE MAKE AND MODEL __.-________- FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
. (Phone) (,( -< - y/~ Y'2 ~'3
DATE '1-/ .s-= c.>?
..: -
\
==:: I
I
l FIREPLACE MAKE AND MODEL
OWarm Air Plants
OOrav1 t);
o Mechanical
DAir Conditioning
oVent. System
o c;team
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard J
Setbacks
..,
Industrial, Commercial & Multi.Family
;t1~6~ - fJU&.r J~
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39,50 minimum
$99 SO
$64. SO
$3950
Residential. Heatin& &. Ale (New Cunstructron)
Residential. Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
..It>
Estimated Cost S .._;t Q?O "-- _ Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$.._
.57~s-o..
_50
~~__OO
.
(OfficI VItOIlI))
This Applkation Becomes Your Bulldini Permit When Approved
Date
: Paid 1./0
l Dale ~q- I~-O~~
RlHellna Official
.. _~.:A" ,"".11 illcnertion. (951) ....'.9850. fix (951) ....7...245