HomeMy WebLinkAboutMechanical Permit #03-1502
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
LU ltfb3,
)3q6 SPVvA6- rrL~
SCHEDULED
, .A.I:)ORESS
oiER
CONTR.
PHONE NO.
PERMIT NO.
2, -1(Q 7-
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 EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
.If ~ G~INE AIR TST L"
~ 0 _rll/2..~ML-~
7Ol0s
COMMENTS:
~RK 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!
lNSNOTl
0" TE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
tl- 1'2 -os
'Z : 3(L
DRESS :33~ ~~ G,\~
\JWNER CONTR.
PHONE NO.
PERMIT NO.
3 - I Scn
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
o COMPLAINT
~IREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. ~., ~ I It ()(~,_
o WORK SATISFACTORY, PROCEED
;z(EORRECT ACTION AND PROCEED
o CO~ WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpe~O 'j h Owner/Contr:
';A~~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
21JDE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSIVOTl
CITY OF PRIOR LAKE
I1EATING/AIR CONDITIONING/FIREPLACE PERMIT
It'lease type or print and siltl1 at bottom)
ADDRESS
cSPfL/ rfG;
33'15
LEGAL DESCRL.t' nON (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
Date Rec'd
11.1.0]
I. Pink File PERMIT NO
2. Green City .0 ? _/.' r-r. z...
3. Yellow Applicant ..> ~ V
GLEN
~/e.
ZONING (office use)
PIDZ5: 361. 023,0
APPLICANT
(Name) W.PNj'mqN-/V Llo m fJ' (Phone) ~S/- J/{) {, -11 (J D
(Address) /4'1..>- I'/q <6- tJl'" Jll171'" ~o() (d. '1q/V S57).. 2..
(Address) ~City) (Zip Code)
(Contact Person) Gt:tt"1' J(J~/y..F('/V (Phone) {,/;J. -J~9 -7~/ ::2
APPLICANT SIGNATURE ~ I~ DATE //-7-03
AP~~I{~NT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
~~ AND MODEL 1Jc."~ T tt C 10
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
(Phone)
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
& ()O ()
Building Permit # 03- 1st; z....
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39. 50
.50
4O.tJO
'ftice Use Only)
paidtf-a. ell)
Dil 7.03
ihis Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
ReceiPt~ () ~S-
By ;fIL