HomeMy WebLinkAboutMechanical 07-0168
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
5/2i07
ADDRESS "3 3a ~ ~ k, IA W~ " ~ J r
V
OWNER CONTR.
SCHEDULED
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
'~j PLUMBING FINAL
\J MECH FINAL
COMMENTS:
I J '\
(' \~/~
\""" -
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-t 1'\ '"'
. T
J - I foB
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
)1(.WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: L.L.LJ ~ Owner/Contr:
CAU/44t.,9850 ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3 - z B - OJ
~.~i:~n ~:~y I PERMIT NO. /)'1-0" II
3. Yellow Applicant V.4 Vt:J(I-
1J:'lease type or print and si~n at bottom)
ADDRES~ -?., ./
??,...,> UC(# ';/ft l/L /Zt,t.-
lip;.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
. (Address)
APPLICANV
(Name) .'-f#'v
J4;.,~'f
(Phone)
9~til. - ;l?9- 9~77
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) ~ /
APPLICANT SIGNATU~ r-_ . A~
. J'~U
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
(Phone)
DATE
:?,h~/~7
,
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
DWann Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
D Radiation
o Special Devices
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.
Industrial, Commercial & Multi-Family
G /I J t-- / Nt:;.. PtJiC
-rr/./Pl-- / R /1/ (/t:/
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
~r\~L-JVIAi<..t ANO tViODtL
$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 #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39. 50
$ .50
$ 4-0. dO
(Office Use Only)
pplication Becomes Your Building Permit When Approved
\ ~ 3/Z-?/07
Paid
40, D'O
~h-'ilo7
, .
Receipt No. .53 2l...~
By ~,
Date
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372