HomeMy WebLinkAboutMechanical 07-0099
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~
ADDRESS 3'R~c[ Mart;.~
OWNER
CONTR.
PHONE NO.
PERMIT NO. ~~ 1- 009j
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPI ~~~
~ p'
o FIREPLACE ~AL
jZ-GASLlNE AIR TST
o
COMMENTS:
~4L~
I,-u
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~CT K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,I ~ Owner/Contr:
CA 'L7..,ti'o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD; Re6ulREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
INSNOTl
~PRIO't
s~~
~"'E.O""
ClI 'i OF PRIOR LAKE
HEA... iloiGI AIR COND1.l.ONlNG, r lKEPLACE PEAAu.'l
Date Ree'd
-3.s.c/7
~: ~ ~:~. I PERMIT NO. OJ. {)O QQ I
J. Yellow Apphcant / l
(Please tYJ)e or Drint and sian at b. .._-)
ADDRESS
334~ "-..I\~sh Sot=:. NY'-l
LEGAL DESCRar uON (office use only)
LOT
BLOCK
ADDmON
OWNER ~
(Name) ~ .J~/e:>
ZONING (office use)
PID
"^ ----J. \ a ~ ~
c.....J
~~.s.h R-l Y--~.e\
(Phone)~~~-461 L
N. 'l\J '
(Address) ~~9.
APPUC.A:N'fv.... I \ -
(Name) I--t)~-H 1:J -+- Vl:3 I A'ld. (phone) ~2-4-1rr,3~
(Address) jcq2/..e("/ J-"Y7~hJ i','A b ~J /PHc>~~j O~15J-;::;;-.~
(Address) (City) (Zip Code)
(Contact Person) ~SJ=.. . ~- :hl\Vlh . (Phone) ~~+-27.~
APPLICANT SIGNATURE h /vlolrAs:r{~ C!-lJVI ()_ DATE..31 I / { ./.:::+-
. J
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS.
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
\
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
_ DVent. System
~PLAC~AKE AND MODEL (Ji;1f-S t/ (Fi/ {;
.......,' - - - ..
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% 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)
~JtrJJiv
Estimated Cost $ CTdSd..
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
07, bD
.so.
4V,OiJ
(Office Use Only)
This ApplKatioD Beromes Your Building Permit When Approved
Paid A JJ
~(/. (/V
Date 3 .- (/7
,.J .
Building Official
Date
-
... L____ __..:__ ,__ _11 ;~_o_~~~a fOC')\ .t<t"7.0Rcfl rAY (Q<;2) 447..4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
~
$39.50
$39.50
Rece,Noo .5-2-)1/ Y
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