HomeMy WebLinkAboutMech Permit 04-1170
DATE TIME
CITY OF PRIOR LAKE 11-2-C/-tJ1
INSPECTION NOTICE SCHEDULED
ADDRESS t./tjlO ~h4.-J
OWNER CONTR.
PHONE NO. PERMIT NO. 1/-1/70
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
D FRAMING D WATER HOOKUP )!t.EIREPLACE RI
o INSULATION o SEWER HOOKUP ~REPLACE FINAL
o FINAL o PLUMBING FINAL ASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRE ACTION AND PROCEED
RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNorl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
tJ<lO~
Date Rec'd
II~ /71 (J 4--
I. Pink
2. Green
3. Yellow
~!~. I PERMIT NOo04- / /7 0
Applicant ·
.ase e or rint and si
~ ~DDRESS
44\0 ~~ \A\ ~ ~.E.
ZONING (office use)
Jet
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK/ ADDITION ~~ /f/tAd" ~
PID 2b. 314-.008.0
(Address)
'h~ (PhOne~Oa;- tJa-9%7
6he(~-I-nUl+ LLiflt IJ ~e-,
, ~ 1A/ (Phone) 102:' J>cJ8- jfJ ~
{j Lcl/l r LIJ / Ie ,/L{;V b!3337
(City) (~ Code)
(PhonelJ8::!-ftJ8 -/c.JrJ:;{
DATE J/-~:;;;-D<f
OWNER
(N ame)
(Address)
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT I AL TERA TIONS
FURNACE MAKE AND MODEL FUEL /lft;76
FLUE SIZE RETURN OPENINGS INPUT OUTPUT ....3 d I 000 /(
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEr!lAa .
CJ-hYJ l
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
, DVc26RAJ
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
/JM()rB-
Estimated Cost ~ .
I
Industrial, Commercial & Multi-Family
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
O~,/J70
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3C/5{)
$ tfO . .50
$ ,00
(Office Use Only)
"'his Application Becomes Your Building Permit When Approved
Date
Pa~ I to
Date//.I? ()?
ReceiptNo'48357
By
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372