HomeMy WebLinkAboutMechanical Permit #03-1420
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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IIVik.J~" ~;;;
OWNER
CONTR.
DATE TIME" "__
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1>-1
.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
IFINAL
'b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
3-/tJ'1/
'1-IL,i-C
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
, CORRECT ACTION AND PROCEED
o CORRECT WORK, CA 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!
INSNOTl
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CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONTN(:/l?T~F1>1 A CE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/03
Date Rec'd
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'I' "7 ~ /'j
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,He
:ity
,pplicanl
PERMIT NO'07--/1zol
ZONING (office use)
1'.lfIU} \i\l! \ fin V';
.'. l1', r -.J i \;, "oil>, I
LOT
BLOCK
AQDITION
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OWNER1-'J7,+--! !
(Name) T'-"",
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(Phone)
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>~rM~~~Tt)\ v' ry",tc{iI\ /1r\ i (Ill', l '(Phone) ~..,}- ?3/- /'ly:.;7 /
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;~~:..an)-V;-~ t\ /"'("')/1 (phone) (Ci~ / 1,6'[;: 77q~7
.~pp'~~:~i~SIGNATUr$ '. -hZli/II// /~:j:f/\,- DATE //(' :-'-! I-~;~
",:"", ,t<<:.... ~CANTPi~i;E'~;;MPLETEBELOW
DNEW CONSTRUCTION ' o REPLACEMENT ~ ALTERATIONS
'MAKE AND MODEL FUEL
'J RETURN OPENINGS' INPUT"'" OUTPUT
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::.:;~TypEOFsySTPM '
OWarm AirPlan~ "
<:;>,;\i'lEl~~~:%rii~al. '
, "':. OAir Conditiqning
OVent. System
D Steam
o Hot Water
o ''''U,".. ~ i
:,.special Devices /l./ I~: "
~l~~;~;~K~~f; II{
PLEASE N<>,J'E:..'t",
Air Conditioner Units,
Cannot Encroach into'
Required Side yard
Setbacks
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',w~;a~~?#~& NC(Ne'\\I Construction)
j31;.:l#atiiigjOnly (New Construction)
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FEE SCHEDULE
l%ofjol?cos~ '., Residential, Gas Fireplace
$39:50minimurn'
$99:50 "
$64,50
Residential, Additions & Alterations
. Residential, AC Only
$39.50
$39.50
$39.50
;::ii~~,:~:.:/ "
;""i,
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Estimated Cost $ r;){"f'i.. CO
Building Penuit #
-;./:/..;/;- /'
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.50
W(' . t// .
.~.f/,~i:.!'I.I~ ....!J,,~,~,'.'_"._"",~"-'h"'''''''-''_'~1m~1:''ING~P~TFEE''';''''" '$'"
..'" STATE SURCHARGE $
",. TOTAL PERMIT FEE $
. ' ,," ,:.:.c';;';;'~~~:"~~'';;'::'~'''' .' ''''''''?''w;:,.,.~r,~"~.6:r""",,,,,,,''i-.V''''''''~'''''t"
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~ljlsii\'Rplication; BecomesY our Building Permit When Approved
Building Official
Date
Paid., /1 ""
+-U. (' (,
Dat~ /1 _ .,~
I (/ . ~. .'
Receipt No;! ,~'- /1 , 'J
'-9- ,:::.) (./ /..--1
BY./I/',_ 1._
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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