HomeMy WebLinkAboutMech Permit 02-1478
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICr.
SCHEDULED
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ADDRESS
is/i- //ViI/ow f>1:~{/h
n-
OWNER
CONTR.
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
PHONE NO.
PERMIT NO.
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.- / r(/~~(',,-
/ '
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
.
QD5e
p~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREF' CALL FOR REINSPECTlON BEFORE COVERING
Inspector: r; "']..L---O} Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1!<SHOn
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
Il/2 /v 2-
~. ~~~;w EJ~icant I PERMIT NO.02-/41B
ZONING (office use)
III I c l O~ if 15 {~J11!ff y;e~L/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z-5 - / (Jfo - () (1 ? - ( !
I OWNER
(Name)
(Address)
(Phone)
APPLICAl'j1;.
(N ame) I VI ,1-(ff>/1
II 6/Jr( ~ G
Ir ",{)
Ihrz
;' ...-,11...."./<.',.,/.:/
L.. Nrr"'"U (Phone)
8/-a)
"76< -536- obb'7
/M/C sS') '2- fi
(Zip Code)
763. ->3' . oIPfP 7
/1 Lft'~
(Address)
tJfI
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
D AL TERA TIONS
FUEL
OUTPUT
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
D REPLACEMENT
T-lEATING OR POWER PLANT
ices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
'team
, ~lr~..~,.
"...S
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
1 % of job cost
$39.50 minimum
$99.50
$64.50
,..tILE
Residential, Gas Fireplace
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit # (l 2. ' I 4- 7 ~
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39. .su
50
4-0. uU
(Office Use Only)
This Appn~o~ ~'.il''' ess Y Y ,our Building Permit W. hen Approved
~- 11.lt/.(J~
Building Official Date
Paid
40, elf.)
Date
111'2-07---
{-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372