HomeMy WebLinkAboutMechanical 06-0977
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I ')0, s"t
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ). -I f:J-(}}
/l1f k4/( 6:-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
(;,,-f 77.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
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~ORK SATISFACTORY, PROCEED
~O CORRECTACwlONANDPROC D
o CORRECT WOR CALL EINSPECTION BEFORE COVERING
Inspector: } Owner/Contr:
" .
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
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CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~;e:n ~~~. I PERMIT NO.[)/ //'J 1'ri
3. Yellow Applicant (() ~ II
i
(Please type or print and si~ at bottom)
ADDRESS
I '0(P51o (Y) I +-ch (2 J I 0"'"1 US
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
(~ BLOCK
PID /95r-/~5-DIO ~~
ADDITION
OWNER
(Name)
Nle..lson
(Phone) Cf5d.- 4Y 1 - Y do 1&>3
6U.5Qrj
(Address) L 5 (05 to (Y}d-c"he J J 0 V ( U f,
APPLICANT n -. \ . I
(Name) \.-QV\Tro LoA
Air
(Phone)
(051-4 (0 D (OO@d.
(Address) ""\ \ @ IDe q}o" - \.-. ...
~ ~ f... J.- 0. v" t'Y\ \f"!:fJ elf"'''
(Address) U (City)
(Contact Person) C I V\ d ~ (Phone)
APPLICANT SIGNATUREC\.~.Q),~U l)_P/Y\J.l1~Q DATE
- APR.LI~A;n PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [3"REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL T rc,r-..f.7. 'f.-.0--.e0 FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
0"Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
DVenL System 0 Other Devices
550;JLJ
(Zip Code)
)( d5:?
\D - 0.0- <.0
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ \ lqa,ro.
REA TING PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 2\O.SO
$ .50
$ '-I(), 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
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Dati'o ~ /~ Ie
Rece~J8 4 9
B7J-1
Buildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245