HomeMy WebLinkAboutMechanical Permit #03-1473
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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lA/.jJlA;w2- Giv
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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DATE TIME
JJ -/:l,?1;3
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECffWORK. C FOR REINSPEcnON BEFORE COVERING
Inspector: Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. :.:0 ~:~ PERMIT NOO' ';} _ (41""./
3. Y.llow Applicant "') '"")
(Please type or print and silm at bottom)
ADDRESS
15SG,~ Wl\~Luroo Clrt.. sE.
ZONING (office use)
LEGAL DESCRlt'uON (office use only)
LOT
BLOCK ADDITION ~(l..--lrr~.
I7Moth.~ LuE~
rsS10 ').. L".l\. LJ.voo~ (2.\'c. ~c.-.
PID 'Z 5 - 0-2..f -00 I-I
OWNER
(Name)
(Phone) Z.2 {g - ~ ~'i
(Address)
APPLICANT - '~ .
(Name) I I~"'- 'f't~. Wf::::-~
, ~l.:. 2. tiil j '-tJCO'?
(Address)
G~.
(Phone) Z. ~ c... - ~O ~'-f
\?16~ L~ S5s12-
(Address)
(City)
(Zip Code)
(Contact Person) ~ ~ - I -" 1) \ _ (Phone)
,APPLICANT SIGNATURE ( ~ G.k-~ DATE Il-'"6S--l:)~
,
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
Industrial, Commercial & Multi-Family
o Steam
o Hot Water
. " ~ 0 Radiation
~ ~\,6Q Special Devices
o Other Devices
\x'Ol)\ L-\- {,mIL @ fM~~
u.." (..JOV { N ~Dec-11"'-b
FEE SCHEDULE \ .
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL"
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
I STATE SURCHARGE
/l f ... 'TOTAL PERMIT FEE
iiceUr?nl ~. ~ I r
Thi'~(1/tIV~~~-:::lldmu/:;0h3 Approved ::: (tt:j- ",
, BUi~ ') I I Date II ~(o-z,
- . I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
$
$
$
3 q ~"'\O
.50
40. --
Receipt No.
Jf0 01 ~
By
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