HomeMy WebLinkAboutMechanical 07-0184
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
Lf,. kJ-1f7
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
7-/W
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND P~ED
o CORRECT WORK, CALIIFO~EINSPECTION BEFORE COVERING
Inspector: ---pI - I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
4',4.(,'1
I. Pink File PERMIT NO
2. Green City . Ci 7. 0 I (; 4-
3. Yellow Applicant
(Please type or print and siWl at bottom)
ADDRESS
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~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
)
p~W~
aA J-.-OA ;--a-
(Phone) q5~ '-1'9 C. Z C;V L-
(Address)
ZONING (office use)
PID 7.\ 7,14. (1{7. b
~
APPLICANT C C;; '9
(Name) -I-IroA/l/__ ?/t/G-ZG r FA/~ 4PhOne) 7~3 V7~ /. 9'0
I I n /./
(Address)_D doP c?5 ~rL W ~J'M/tJc({P1 /o//f/ 55YY7
(Address) ~ (/ (City) (Zip Code)
(Contact Person)' -4 / ~"'~LL. #'" (Phone) "7 &:.3 V /? / r 90
,-? ~?t:J -;7
DATE
/' ~ / /
APPLICANT ItrJtASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL A Or.> c1~c"'1 kl-1s(1 FUEL ~A :::>
FLUE SIZE 6' r ( RETURN OPENINGS. i INPUT 1C? ~ OUTPUT .5 <=;
,:>pLICANT SIG
TYPE OF SYSTEM
bw;rm Air Plants
DGravity
"tSJ Mechanical
~Air Conditioning
DVent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
/0 qO)
. (
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3CJ:;D
$ .50
$ V-o. ~~
. .Alice l'se Only)
This Application Becomes Your Building Permit When Approved
Paid 40 0 (j
Date4 - "1
\ . u
Building Official
Date
.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
, ~....iW...
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. -:;3 Z 34-
By),
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