HomeMy WebLinkAboutMechanical 03-1466
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED W! ;!D3
ADDRESS W51~ ~~~ ~~
OWNER CONTR.
3 ., t~f!a
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~t ,s4
o EXIGRADIFILLlNG
o COMPLAINT
Ai JrFIREPLACE RI
f-t 0 FIREPLACE FINAL
A:- L GASLINE AIR TST
o
J1Jo s ~ ~ e//
! /' V
l/ ~\
~ \
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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!
lNS1IOTJ
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/0.3/,03
; ~~ ~!~. I PERMIT NO. I\?,I A~ ~ I
3. YeUow ApplIcant (.J.::' I .,-
4-5// ...meKStJN ~/L-
ZONING (office use)
,.e.s
LEGAL DESCRIPTION (office use only)
LOT/~BLOCK 2- ADDITION 777V.s 2NO ADON.
PID26: 087.02b.C
IOWNER
(Name)
(Address)
(Phone)
APPLICANT LJ.,n,r.&J. ~,,.......,., A.-{ A ..' r- ~
(Name) rt!",./v Tf 'v c;..c;:;v ".,...... , '-. r .
(Phone)
(p 5'1. 338. ~38S
(Address)
(City)
(Zip Code)
(Address)
(Contact Person) Z2:.,~ ~
APPLICANT SIGNATURE ~ ~
(Phone)
DATE
0-3/-0
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit # ()3 - /4-6,c:'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ..:3Q.5CJ
$ .50
$ 4-0.00
flee Use Only)
This Application Becomes Your Building Permit When Approved
Paid ~O. 00
Dat7't'...?/.12J
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 N~t'/ 5"
By