HomeMy WebLinkAboutMechanical 06-0051
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~ 6.Y;c.
,
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SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
b -- S-/
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
~H FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
C9MJftENTS;. / ,~
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~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOoy. 'JIy..#f. REINSPEenON BEFORE COVERING
Inspector: y~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER >en ~:~ PERMIT NO'()I/_. 005/
I 0 - 0 fc, lIow A~Plicant {t7
(Please type or print and sign at bu.'u~)
ADDRESS
J t..J ~3 J -A s.~-er r, ~ 'r__ . NU
LEGAL DESCRlyuON (office use only)
LOT
BLOCK
ADDITION
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(Address) 141-3\-t;~ Q~.~
APPLICANT
(Name) l J ~\er-s ~~~.
(Address) { nQC::C\ W, )~tz:fu. . f~ . \\ \N.,"",
(Address) ,
(Contact person0LL.L 1_
APPLICANT SIGNATURE
(iha J I e J51~
Date Rec'd
/_ / 7, {)6
ZONING (office use)
PIDZ6. 08-1-. 007. ()
(PhOne)qs~- '-1a~-q&as
(Phone) C6:2 -'-l3\- 0CJClq
(\ pp I P, i)Ll/~/f'.' 5-'5 J.;;>..<-J
(City) (Zip Code)
(Phone) q5d 3J-7CJ1 q
DATE 1-lo-cY..o
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTI~)N ~REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL Qeu-- ~ Sg m V ?v",.AC~ FUEL ,~~
FLUE SIZE RETURN OPENINGS INPUT f!n../~Y:"x) OUTPUT 52:CX)O
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
~ravity
chanical
Air Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 3.8cD:-
,
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
ice llse Only)
Application Becomes Your Building Permit When Approved
Building Official
Date
$39.50
$39.50
$39.50
Building Permit #
$
$
$
Y1.~
...iO
4o~-L.J
Paid 40 00
Date /, /8, O{p
Receipt No. 50814-
By t/$~
/~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372