HomeMy WebLinkAboutMechanical Permit #03-1467
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1/0 '1-, U,t/
v -
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED -L" lq ID~
)~~/'~ (~A/tA.e
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1-{ y {,7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
J 0 FIREPLACE FINAL
kif G SLIN; A,IR TST 2~-5
~'
~ORK 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
Date Rec'd
//_3.03
~. ~e:n ~!;y I PERMIT NO'1)? -/4-(P'7 I
3 . Yellow Applicant L. -.J
APPLICA~J;- '" . f
(Name) -{ 1L1t} ~~~o g t{ir
/!,/orTh 1:4LLei/ ~
(Address) /
/)~ j} ; j} (!)f? 5fr;e /C~ .e, ~- (Phone)
A{I~.-~ / 6l'~~. DATE
APPLICAN~LEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Please type or print and si~ at bottom)
ADDRESS //_ ?z /.- -r7l d? A/.-
I <t:7,.,) ((/ (/1 U v;!.-117 CAJ ,~v b
LEGAL DESCRu'nON (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
ZONING (office use)
(JUSD
PID25. 32..2.,004-.0
(Phone) CfS- ~ -,' r;) - ? () 6~'.
ClASL-A ~S-? fIr
(City) (Zip Code)
95:)" -,-;)9::; - 9 ~6 ~-
/tJ IstJ --/CJ3
(Address) / LI
(Contact Person)
APPLICANT SIGNATURE
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
- G~ r,AQr"
,/
Nrte
H/-rt/Jet: ELP4A<S/"CJA-
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
Building Permit # {)J - /4-(;. 7
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39. SO
$ .50
$ 4tJ.00
ice Use Only)
This Application Becomes Your Building Permit When Approved
Paid It). C/O
Date/ /3. OJ
Building Official
Date
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 NOf~. () I b
By jff~