HomeMy WebLinkAboutMechanical 03-1532
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
-t2./~IrY;
Lt1z,~s ~ 1).~Ll4
SCHEDULED
LO~
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
$-1~3v
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~MPLAINT
JI' .fIREPLACE RI
~ FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
0/
\.,L,"-'
l)-
~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:.=CT4kL FOR REINS:::,:::FORE COVE~NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEAIll~G/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO 0 3 ~
2, Green City . -/53
3, Yenow Applicant
,rlease type or print and si~ at bottom)
ADDRESS
1~~35 f:orl]n fOfJ~t! ,JJ!)J erj; /l/~
d. /VeL
ZONING (office use)
jet(
LEGAL DESCRIPTION (office use only)
LOT3~LOCK ~ ADDITION ~ ~
PID q5"- 3C;D-() 3/-0
-
11 I ' h f. 'i'~;J.-
'j'oh it VllIJ ~ PI' ,,0(' (Phone) cttlIJ - (J~77
_ _ ., ..."a.. - -
III J. c~ _c;- r::;-l (J Vi f a //~ If /j / 8 r t lP JUi.F ~
APPLICANT . \ ,A Li i ^ 'Ij~ () C'1 ).,--0
(Name) F' \A ~ .5 it/( e. /TfClJl' It ~. roh1 (J ~ (Phone) yG'~-17 9'()-07~ G
(Address) 38c;-c) UJ. t-( /)/3 /3 f3lArvt~IIIJ/{J,!J1jJ) ~5{"?3 '}
(Address) \ (City)/ (Zip Code)
(Contact Person) -J/1// f) I (5 S('l - fl. /J (Phone) _CI. 5" ~ -;f:2tf - () ?o-8
APPLICANT SIGNA;~R~ -fJtl1~jJ ( ,~('~ f DATE / / _/ 19 / (/ '3
APPLICA~ P~EASE COMPLETE BELOW ( ,
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWNER
(Name)
(Address)
TYPE OF SYSTEM
HEATINGORPO~RPLANT
OWarm Air Plants 0 Steam PLEASE NOTE:
o Gravity 0 Hot Water Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
OAir Conditioning 0 Special Devices Required Side Yard
OVent. System , 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL J/ eJ - il/- (J.j 0 /'111 oJ el ,. s:).. 7S-rrmtJ/. ""~iJ...f-/" J Ih(J !
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 Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(--(OffiCe Use Only)
This Application Becomes Your Building Permit When Approved
$
$
$
,50
J-f() e'-
Building Official
Date
Paid / f ____
~O~
Date I j v1 ':2
1/ - /"-\....J
ReceiPtt~~ ~
BY~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372