HomeMy WebLinkAboutMechanical 07-0180
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
k-(7Z,] {,-/-t".-1. ~~IL,
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
o PLUMBING FINAL
~ MECH FINAL
COMMENTS:
DATE TIME
L( -~...O?
7-(~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~OR REINSPECTION BEFORE COVERING
Inspector: r r /J./ Owner/Contr:
. V
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSlfOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~i~:n ~~~y I PERMIT NO. I -() ~ ell
3. Yellow Applicant '0
(Please type or print and si~n at bottom)
ADDRESS
F\lci3 <O\e~t. AUQ S E
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z ~. I 3~,. 0 II, 0
OWNER
(Name)
LJ Cli '^ ~ ~~(e,^
I tn~3 (O\~~~~ ~( SE
(Phone)
,q1-orG~p M~ C;~1)I.~
gs)- '147- 7~oO
. (Address)
APPLICANT - \
(Name) ~On~^ COr&to.~,<;x.tlC
<X-\Qi \"1or~(\ A('\~e.. S~~~
(Address) .~
(Contact Person) A ~\.J t\{\~ _
APPLICANT SIGNATURE I ( 1lJ.-A-
\j - - -
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION I2!-REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL t:e\'V\J\o...\.oc K (b (0 R /mq bG lJ- i3 FUEL ~!
FLUE SIZE D' Yll RETURN OPENINGS ts INPUT '1hCOO OUTPUT
,
(Phone)
(10 l}-5b~-<rd9 b
fVl!N 55'3/7
(Zip Code)
(City)
(Address)
(Phone) b \J 5"Ofr-<1tJ'i t.,
DATE 4-5-:' 0 {
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWann Air Plants
DGravity
~Mechanical
[JAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation (' I
gspecial Devices hxc~J ~I(-
D Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
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
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
"',NV\,CO
Estimated Cost $ 01 u..u
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
s f. r;~
.50
40.00
'Office U seJPHt')
'1'~ ~Build;ng p":~When Approved
~Mmci'l *' ",t,
Paid
Receipt No.
Date P b 4/,,/r;
f ;/
By f6
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372