HomeMy WebLinkAboutMechanical 03-0640
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
rcS),l) flrvblJ.- V"1'-U/
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
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COMMENTS:
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DATE TIME
. 1-10
:Z-'l(O
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f ~ )
I-' ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
. J1 III'? 7 (O'(f1
Inspector: ~ V D . - I OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn
T
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and siltll at bottom)
ADDRESS
~O -1-b..J-.t:c:r lJle~ Llr. ~G
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Date Rec'd
I. Pink File PERMIT NO &)
2. Green City 0 /)~ _ L,//.
3. Yellow Applicant U J 7'-
ZONING (office use)
PLJ-S D
l
PIDJ ~- ;;>.S'S -OO:J-{)
() c... ""'\ - L.JL\c-- .---t , , 0
_ (Phone) '-1---b(. ...J I-L
OWNER
(Name) :EdJ ,a\ rcL ~6P I
(Address)~a +b.rror Q,eL0 eLf. NtJ
APPLICANT 0
(Name) \ I Yil \er~~lde.>
(Address) CoQ.scJ LD. HI ~h ~\ * 1(Xp
(Address) '/
(Contact Person) ~ lLiJh \e.r--s
APPLICANT SIGNATURE OO-n.::..D ~ l~
(Phone) QS:).4.:)I-,d=lQ
~~(Ci~;Cl \ I~j (~d~fLI
(Phone) ~1l\eJ
O--~~~
DATE
APPLICANT PLEASE COMPLETE BELOW
C:\. \c... DNEW CONSTRUC'~ION ~ REPLACEMENT D ALTERATIONS
~UR.NACCMAKEANDMODEL Oa.fr\er~f\ T1~Y\~^ (~--t-DrJ) FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWann Air Plants
o Gravity
o Mechanical
~ir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ d Bso::O
OJ
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'lice Use Only)
fhis Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit #
$
$
$
3Q.5o
.50
40o(L.J
pai~t? / --
Date 5-dF,3
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
-.-.. .....-r-..--.--.--..
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
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