HomeMy WebLinkAboutMechanical 03-1453
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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I2d
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
'3 -1t(S-~
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
o EXIGRADIFILLING
D~OMPLAINT
~..-cr FiREPLACE RI
o FIREPLACE FINAL
~SLINE AIR TST
o
COMMENTS:
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'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
Il'iSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/0. z,1.~.1
~'~::n ~!:y I PERMIT NO. o.? _/+.c?
3. Yellow Applicant :..,) ~
(Please type or orint and sie;n at bVL"'~)
ADDRESS ZONING (office use)
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,1/0 fJ.}(JV'C# 1 ~ - (JZn a(/l
LEGAL DESCR1t'uON (office use only)
LOT
BLOCK
ADDITION
PID z.6:" Z04-. 003.0
g;.::~R f)1 C'Y' k /Yl Ci 11 'fit 0 (phone) 9'5 ~ - f%-c1 VJ~
/_~ ;lit) I-I-CJ {J/ (J vd lak ~ J
J1- f(J.V'i~ +- Yo lIJIl ~ (Phone) CI~~ -{1cr/J~(J ?"4-g
UJ. '.-1-1' 1111 '3 &J1.rtd!LfJl//J1/11,3533;7
(Addre~ (City) (Zip Code)
(Contact Person) fl el/ ~fat P..., (Phone) 96" J..- R 9'.. /J .- fJ ? ~g
-..APPLICANTSIGNATURE _~ _1(~t DATE - /O._).:2r;,/h.~
A;PLI<f(NT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
<Address)
APPLICANTl \ f)
(Name) F\Y"~S(OLe..
(Address) :-3 ~ ST)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
REA TING OR POWER PLANT
OUTPUT
OWarm Air Plants 0 Steam
o Gravity 0 Hot Water
1Sl Mechanical 0 Radiation
r:JAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
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FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39,50
Estimated Cost $
Building Permit # ():I - / "'Sf
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ :3 'i. rv
$ .50
$ 4-fJ. t/V
lice Use Only)
Building Official
Date
paid~O. W
D~.z.~~
Receipt ~'(J() (;
By ;fIL
;s Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372