HomeMy WebLinkAboutMechanical 03-1438
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I? -~-O~
--/
ADDRESS
15201
~'t~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-S-jL/3B
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 .9tUMBING FINAL
~ MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
J) /'
~~
f) \ D
L)
~ORK SATISFACTORY, PROCEED
o CORREC TION AND PROCEED
o CORR T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: '
Owner/Contr:
79850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY!
/NSNOTl
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I (J. z., 7. 03
1
~. ~e:n ~:~. I PERMIT NO. tJ.l-/~?Q I
3. Yellow Apphcaot ;,.) U
(Please type or print and si~ at bv~;"~)
ADDRESS ZONING (office use)
\ ~ ~~C\ ~Ck: r \, ~~ \.~ 'r,: \ N (:
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER (\... \ . I \
(Name) \J r 4. \... ~ '" \ 'f"\ '--~
(Address) 5 ~~
APPLICANT N\ L '^,--,\
(Name) l. ~,,~ \ ')"" 'r\ L
(Address) \ \, '\ '? 0 \.J It \ L 0fvv..- ~ V ""
\. \ (Address)
(Contact Person) I'" ~ '" V"" .
A.PPLICANT SIGNATUR~ I ~ ~" ~'-....
PID z.6: (J;3(,. 0 () I ~ ()
(Phone) ~ S d,- '-\4 0- ~\ J b
(Phone) ~ s: d- ~ ~ \;\ 1 - ~ \ ~ Y
(-' r, ~ ~ -.-- '"- c; l L ~ S S '"5 -, ~
(City) (Zip Code)
(Phone) <i r d, _V\ '" I ~~, ~ ~
DATE \O-.:t~--3
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION )0 REPLACEMENT 0 AL TERA TIONS ,
FURNACE MAKE AND MODEL L '-'" r~ ,- ~ ~ ~ - ~ ~ - \ \..\ FUEL "'"
FLUE SIZE ~\l C RETURN OPENINGS INPUT 'i ~ d'lfO OUTPUT"\) () ~'i\J
,
TYPE OF SYSTEM HEATING OR POWER PLANT
~Warm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
DVent. System \ \ t 0 Other Devices
f' ~ Q u.l ~ \.....') ~ '"1\ ~ ~ '\ (\ "-
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$39.50
$39.50
$39.50
Building Permit #
05-/~.1r
$ ')\ 5> 0
$ .50
$ "\ ~ ~.J
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pai'!4o I (J cJ
Dit(j . 1,8, OJ
Receipt N~ +57'Z3
B:-4-
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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