HomeMy WebLinkAboutMechanical 03-1468
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
:]?r l1
6--,~ '1 11+5
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
/I-/!-o?
Tr-I
<,&ar
o EXIGRADIFILLING
o COMPLAINT
,d FIREPLACE RI
o fjREPLACE FINAL
ZGASLlNE AIR TST
o
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----
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~R~. ~L FOR REINSPECTION BEFORE COVERING
Inspector: /I W Owner/Contr:
. I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO. 03-- I L/ b J1
ZCZ/5Dffice use)
(Please type or print and silm at bottom)
. ADDRESS YJ..CL \ I \
Vj D Y 6r Wf) ~~' ~ht5 rrL S..
L.~AL DESCRIPTIOJ'l (dffi. ce use only)
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LOT BLOC~ ADDITION
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OWNER
(Name)
(Phone) ~ 1.Ll2" ). 70 ..?qg~
(Address)
APPLICANT
(Name)
FIRSIDE HEARTH & HOME
(Phone)
- .
jll~U H "WT IJ
BURNSVlllE MN 55337
II C #2 0090 t>>taress)
'HONE ~;1/~8
(Contact Person) . _ _ . (~e)
APPLICANT SIGNATURE ~. - . ..... DATE
I t ~ ( ,)
APPLICANT PLEAS~ COMPLETE BEL9W
DNEW CONSTRUCTION 0 REPLACEMENT ~L TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address)
(City)
(Zip Code)
I tJ/3tJ j(j ~
/
TYPE OF SYSTEM
REA TING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL ~ra fj,~ ~ ~irv
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
G(,{{~'iv
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
111. rJJ
. .50.--"
1/iL
flee Use Only)
Chis Application Becomes Your Building Permit When Approved
Building Official
Date
Paid i/ 01 .--"
Date/f_ '3 -03
Rec7J~ d ~
By ,
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372