HomeMy WebLinkAboutMechanical 03-1421
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED -11-2{~)
ADDRESS /4770 rl1~ ([vI
OWNER CONTR.
PHONE NO. PERMIT NO. 3-/lfL I
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~Yrl({~G-
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(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT ~L FOR REIN'PECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
CITY OF PRIOR LAKE
HEATING/AIR CONDTTTONTNGIFTRF,PLACE PERMIT
R~ /,leM FP #' h;...1
~Ns~~"16~ seAJ+ "
flO"'f!Ott.I~ II-O~ ~w E~ican, I PERMITNO'03_/~~1
:;~;~AIf'~\ l) ~ !-o.. Ke- ~ ~IJ Ie..
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(Address)j/,.~l/ lebh)e I!:,roaK &f
. (Address)
(Contact Person) ~~ ~*h-eJAol.-\
APPLICANT SIGNATURE ( J..L4...- ~
(- -
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL ~r;~LJ.~"J ~ ~LJ~R9'11. FUEL I/JJlT
FLUE SIZE RETURN OPENINGS INPUT SODo 0 OUTPUT .71.J/J!JD
TYPE OF SYSTEM HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
Building Permit # () J -I 4--ZA
(Please type or print and sian at hw ..Jw_)
ADDRESS
/!IJ70 d/'V'Je
\r-L
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
OWNE~ .
(Name) - , 0 m Ked.. rouJ E5K.. I
(Address) L!:L) ') D dlApJe TrL
1iCW~ Air Plants
Obravlty
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
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HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
fIce 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
Date Rec'd
/0. 2.3. OJ
ZONING (office use)
PID~.r: 138.007.0
(phone) ~J -l./lI7- g 3'i!L
(Phone) 9s:J.- 1../47-RJ.ll)
I";cr LA..l(~ /"AJ.5S3)~
(City) (Zip Code)
(Phone) 1s~ 1./lf)-~11 D
/ /) -;) :;J-{)..~
DATE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
$
$
$
.~9 J _CVJ
.50
-$I!>, DO
Paid tfO. oi)
Da,O. ~:? a]
R<ceipt ~/tI-
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