HomeMy WebLinkAboutMechanical Permit #03-1387
SCHEDULED ~/-/~~
~~~ h-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/71..,<;4
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:
ff.t-s' a I;"
erL
I
---
~
/ / /lc,f'
" (_/ v-
------
DATE TIME
3 -(Ys7
o EXIGRADIFILLING
o >.OMPLAINT
.,Ef'FIREPLACE RI
o FIBEPUCE FINAL
~ASLINE AIR TST
o
---..... -
"
. ,
I r/ )
r (l-e
- /
~
o WORK SATISFACTORY, PROCEED
'" CORRECT ACTION AND PROCEED
o CORRECT ~~RK;,C'pFOR REINSPECTION BEFORE COVERING
Inspector: r V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/ (J .30. 03
~. ::n ~!~. I PERMIT NO. 01 ';;) -/..C387 I
3. Yellow Appltcant ~
FIRS/DE HEARTH & HlliM~
3 B 50 W HWY 1 3
(Address) BURi~5V III F M' liliH7
Lie # 200 9 0 g<.Hdress) . (City)
(Contact Person) lHONE 9~2-690-0m g<71V (Phone)
. APPLICANT SIGNATU~tJ f/;i ,}-x - DATE / OJ 2. '3/() 'C)
- l" (./
APPLICANT l"LEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Please tvDe or orint and sil!Il at bottom)
ADDRESS
l~~Lf ?M1~
....""'
y.
Sw
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
l-lfn nit ~~hL./
~ \1~~~ ~~Ttr.~
(Phone)
(Address)
I APPLICANT
(Name)
(Phone)
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
~IREPLACE MAKE AND MODEL Qu adYC\ A rL
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
~J
,
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ?A. t7()
$ , .50
~
$ Lftl.
Paid #. f/D
Daty () ,30.0) By
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ZONING (office use)
~I :sD
z :;-:+-
PID 20./34-.00 I. 0
qCJl.-L['-fo -~~(P
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50