HomeMy WebLinkAboutMechanical 03-1332
DATE nME
CITY OF PRIOR LAKE jO.{trr/3
INSPECnON NOTICE SCHEOULED
ADDRESS ~~l 1../-7/1~
OWNER CONTR.
PHONE NO. PERMIT NO. '< -J .).3L..
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP ~IREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL ~ASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wfit~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IltSNOn
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
40 .~'
Date Ket'(I
1. Pink File PERMIT NO 3 ~
2. Green City . 0 -/'3
3. Yellow Applicant
(Please type or print and siJtll at bottom)
ADDRESS
(Pf)~2- Hi "('AIM St-.
LEGAL DESCRIPTION (office use only)
LOTlfoBLOCK L/ ADDITION (J~S~
OWNER ....,..-". \ I. .LL _ _
(Name) I I (Y) J..-.tA.Jr Y\1V\
ZONING (office use)
l~/5D
PIQ:l~5-() 11-()70-~)
(Phone) ~0 2 -l/!::f]- 4!f::J;
(Address) lfb~ 1-
t+l \ \ CJ\.Q1);t &rr Q.~
APPLICANT
(Name)
FIR~IDf HEART" g HOM[
3850 W HWY 1 3
PURNS~I~k~n)jjtJl
lie #20090911
.'HOIE ~~
APPLICANT SIGNATURE . ~ .. ~
- ( L/
APPLICANT PLEASE COMPLETE BELq.W
DNEW CONSTRUCTION 0 REPLACEMENT ~AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
(Phone)
(Address)
(City)
(Contact Person)
(Phone)
(Zip Code)
DATE
IO/I/07?
--
FLUE SIZE
RETURN OPENINGS
INPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System . 0 Other Devices
FIREPLACE MAKE AND MODEL Qv a ora. f;'6 Q V r'30
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
/""
Estimated Cost $ ;:tJ1JIJ Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~.50
.50
LkJ. -
lice Use Only)
This Application Becomes Your Building Permit When Approved
1/cJ, ~
/tJ- a- :3
Paid
Date
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No:... .'7<i{5"
L/ Cj .7
BYS; .
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