HomeMy WebLinkAboutMechanical 03-0558
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/4'3S-q
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE Tille
SCHEDULED
.e;-~),J
wa 4-3 "'~gy'
CONTR.
PERMIT NO.
5-:Jf
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)ri;FnlAL UI1; f
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
/
(
~
/\
('" ,
. \;
y
-
o WORK SATISFACTORY, PROCEED
"'CORRECT ACTION AND PROCEED
o CORRECT W~~~L FOR REINSPECTION BEFORE COVERING
,nspectoc ---!if / .> - 'j:YD1."C.ok
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
IltSl/fm
CITY OF PRIOR LAKE
,
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I. Pink File
2. Green City
3. Yellow Applicant
(t'lease type or print and si2l1 at bottom)
ADDRESS
'~~~Q ~~~~~~S TR~I~ N~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) "R(YR MTT.T.F'R
Date Rec'd
PERMIT NOi/3-Ss8
. ZONING (office use)
K) SJJ
PID,-J5- J jQ-038-1
(Phone) -95:3 ~ 1 5 1+G-€
(Address) 14359 WATERSEDGE TRAIL NF.
APPLICANT
(Name) 'RON I ~ 'M.....("'T-f~NICAr..- ,.1'TI:'
(Phone)
~~~ 115 8-5-CS
(Address) 12010 QL n RR T ("J{ v:a'Rn 'Rn
(Address)
~J.nJ{OPFF
Ml\T
(City)
~~~7a
- - - . -
(Zip Code)
(Contact Person)
T .-I.ND.A.
(Phone) --9-5-i! ~ 45--0: 0 ~
DATE
APPLICANT SIGNATURE
APPLICANT PLEAS): COMPLETE BELOW
DNEW CONSTRUCTION )2\REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
D-Mechanical
~ir Conditioning
OVent. System
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ '}ZOO
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~.~
.50
4O.rv
'ffice Use Only)
fhis Application Becomes Your Building Permit When Approved
Paid J j -'
.$I n'/J.
Date 5".... q-63
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt UtI c; ;J-5'"
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