HomeMy WebLinkAbout04-0421 Mech Permit
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S'JA.2 ~-/
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
~LUMBING FINAL
~ MECH FINAL
COMNENJJ: / /'
,Re/J~c e j rv1"P1~Ce
1/ J ~
/f/.e V~"'~'-"){, ~~
Or""-Jf' p,- / ~r~~C e
DATE .
tfr~y
I
~~Cy
TIME
~</- ~/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-'1 /
r /Y/C
/ 1/L / /'
fi/e~ _Cl/~/"l'v/ ~ /77c a~"r
~~/ ~ 3 K"/'XHtJ.3G:J30
U? L~:r:fr(f
.., /.( J// /1 - / 1"
r ~6~o7;oA' ~~ i~)/ ~// 04:.
, ,
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::O~CT ~OR REINS:::,::n::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File PERMIT NO
2, Green City J/V 1_ / i '"L./
3, Yellow Applicant (./"'1 '-f c:;:;r-/
(Please type or print and sign at bottom)
ADDRESS ,Jt;:; ~V6S~ PC~'Vl+- ~
LEGAL DESCRIPTION (office use only) IV CLC-r
LOT BLOCK ADDITIO~ eLS" '#O<.-q
~
OWNER .
(Name) H llt-\~ Qu ~
(Address) _ 5"~ rv-o<;.+- YO'i\A-f- ('tv,.' ~/l~
ZONING (office use)
PID c;> S- -tJfct) . Q:J5 '-0
(Phone) W - 70?? - 87oC;-
prol.v ~., J-1 IV 5'5 37.;t..
..
APPLICANT .~...... L ^::\ _ . I .' .
(Name) I \~ t-nv- t <....l-hl_ (Phone) -457 - W ~ol~
-
(Address) ~?D8 <;'W \~ 5\ .. S.~C;- ~ \ I ~ ~~
(' .J (Address) (City) (Zip Code)
{Contact Person) 1\~.e;;'~ ~ (Phone) fRc;7-~1.$ -11/7
APPLICANT SIGNA TURErgo Lt D ~ I? 9'l .......-... DATE 5'/ (p /0/
- . ,. ,
-------- --'-~APPLICANT PLEASE COMPLETE BELOW
( ONEW CON CTION l};l REPLACEMENT 0 AL TERA TIONS
~FURNACEMAKEANDMODEL G 'u /~-g 1.lv/PIOO FUEL A/d Gw
FL ZE RETU PENINGS ./ INPUT iOO,oOO OUTPUT
- ..
STEM HEATING OR POWER PLANT
,6v arm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
1;dAir Conditioning 0 Special Devices
~ent. System 0 Other Devices
FIREPLACE MAKE AND MODEL
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'lll FEE
$ 3Q,S-o
$ .50
$ 40 . ~v
"
'lice Use Only)
This Application Becomes Your Building Permit When Approved
Paid / /.
7'??- ---
Date A- ,/ /
d -(1-....,
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No.
2/~f(1 c:;
B;J-- " I