HomeMy WebLinkAboutMechanical 06-1120
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4~(,1 VJT'~5tAA Y"
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
o MECH FINAL
F1.rM61~
COMMENTS:
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DATE TIME
J -~-() /
;: -II /to?
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
'\
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PRO
o CORRECT ~O?, CAL~ ~NSPECTION BEFORE COVERING
Inspector: V ' I Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO to I
2. Green City . '"'/1 .:LI\
3. Yellow Applicant o-U
(Please type or print and si2n at bottom)
ADDRESS
'/bb 7 P 1e.c;~~I.-4
ZONING (office use)
ST (SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID (ltJ rJ -t) !~~
OWNER
(Name)
(Address)
~kJ r
1-J~67
J-IoJJ~ rr-eJA er-
(J}eASctL i S7 SE
(Phone)
91')- '1l./7- hI:, 37
APPLICANT
(Name)
(Address)
Jh/J~ ffcJi-th.4l\..)
159:11 f"Y"e-Yl16~ t
(Address)
~ctr~
/~
,<;7
(Phone) 9. ).J- .22 G- <-/328
fLtov .~ a. & ft J1" ,553 7 2
(City) (Zip Code)
(Phone) 6/;J - ;),;1/- ;lo;2, ~
DATE J;:1-~ ]-0 ,
(Contact Person)
APPLICANT SIGNATURE
FURNACE MAKE AND MODEL
~ il 0,. c...
FLUE SIZE ,... rV RETURN OPENINGS
TYPE OF SYSTEM
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA nONS
~.~ UW -07 EfrtAE5 FUEL tl/Ar
INPUT 7J; 000 OUTPUT 6 ~ LjOO
HEATING OR POWER PLANT
~ann Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent. System
D Steam
D 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.
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
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 39- c;-o
$ .50
$ l/(''L.
(Office Use Only)
Buildinl! Official
Date
Paid L/U .---
Dat, a? - (J'- 9r r k
Rece~Nod .5 ~ -S-
?'
'his Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372