HomeMy WebLinkAboutMechanical 03-0505
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
)'J~l LJ~~\~, ~~,,_
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
COMMENTS:
DATE TIME
b-2lA~o3
~ - ~(?5
I
/
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
- S040R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
INSNOTJ
Q 'IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Date Rec'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
5-/- ([J
I. Pink
2. Green
3, Yellow
~:~ I PERMIT NO.(), ?_ uS-.c-1
Applicant ...)" ;>l).J I
APPLICANlI..... ~ JJ <:"'u -
(Name) ~~~A- ~
(Address) 3'7/tJ ~ ~ '
(Ad~)
(Contact Person) J.;".{t J~ )
APPLICANT SIGNATURE ~
t/ .
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ' FUEL
(Please ~ or print and sign at bu~~"~)
A.l)l)RESS
3181 uJ'/~avJ
LEGAL DESCRl.t' uON (office use only)
~ BLOCK ADDITION
OWNER IJ 1_' (" , utA ~l .
(Name) --12i)I:J '1 ~
(Address) 51?;! uJi~ ~ Jrt
(Phone)
ZONING (office use)
PID
(Phone) rSJ--c/I)/-?gs5
I7Xr~ ~~,
(City) (Zip Code)
(Phone)
DATE
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
DWarm Air Plants
o Gravity
o Mechanical
~nditioning
DVent. System
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
s~h
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Estimated Cost $
--
Building Permit # 0;; - oS () ~
HEATING PERMIT FEE
STATE SURCHARGE
lice useFif' Jrlr>j A.^ TOTAL PERMIT FEE
fhis A i I~omes Your Building Permit When Approved
5"/~)
Building Official Date
$
$
$
3950
_.50
4f}. () 0-
pai~. ()V
Dats _ / _OJ
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
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