HomeMy WebLinkAboutMechanical 03-1389
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
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ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP ~
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
"FIREPLACE FINAL
o GASLlNE AIR TST
o
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and sij!;l1 at bottom)
ADDRESS r -
5533 rlj/l/ttIJ/2 5h~
t. Pink
2. Green
3. Yellow
Date Rec'd
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~!~. I PERMIT NO. AJ_J?{),/:I I
ApplIcant () J V-/
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
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(Address) J26t/) /#JiAd /4~11,1
- (Address) -
(Contact Person) ~hl
. .<\PPLICANT SIGN~TURE _~4h~
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(Address)
PIDz6.2-Z,Q. 0 Z-l> . 0
(Phone) ;0 Jdbi ~t1'1
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(Phone) J,k 3" 7 ~1-,i?:#V
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(City)
(Zip Code)
(Phone)
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DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT ~L TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
REA TING OR POWER PLANT
D Steam
D Hot Water
D Radiation
o Special Devices
D Other Devices
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
...[hbb.,ii6:i ~/'(pl/.hJ:A~:5<" $
....,.~Stlmated Cost u2.5l//~
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HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
,ffice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Residential, Additions & Alterations
Residential, AC Only
Building Permit # 03 ~ IJ~ 1
$
$
$
~(l&
.50
~0'..-0
Paid A./l V
'ru. ()
Date
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt I~ n
By ~
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