HomeMy WebLinkAboutMechanical Permit #03-1436
DATE TIME
CITY OF PRIOR LAKE /1-/0-0 ~
INSPECTION NOTICE SCHEDULED
ADDRESS 141r>~ "f/ fA LA. ~,JtAA"
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OWNER CONTR.
PHONE NO. PERMIT NO. 1:,-143,
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP II FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL ~ GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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J! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO_CT,T yPI FOR REINSPEcnON BEFORE COVERING
Inspector: Y l' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
Il'iSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. :~n ~~~. I PERMIT NO. ()3 - /1./3~
3 . Yellow Applicant
(Please type or print and sign at b~..u...)
ADDRESS .
If?Ol., Y\ ~e. 1rcttL
LEG~ DESCRlr uON (oflire ~ only) JZ ..
LOT ~ BLOCK ADDITION [;j{;J{ ~ (YIC0t trl.
I
ZONING (office use)
Ie ISJIJ
PID d 5 -' II Cj -- DD 3 .i?
(phone) ~ 3031tr.>>-
&~~R CJbtan tJj ~
(Address) \ Lf?JO ~ \NoJ.tr~ Tr cU1.
APPLICANT
(Name)
FIRSIOE HEARTH & HOME
~ g ~ 6 W III:\' 'J
BURNSVILLE MN 55337
LIt; HUUltUlt I I(Address) ~
'HONE 952-890-0758
, ~
(Phone)
(Phone)
(Address)
(City)
(Contact Person)
(Zip Code)
. APPLICANT SIGNATURE DATE l.Jl/b3 ftJ~
l APP~IC~~T prU COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
DVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL -1~DOd no({)\~ ~&'()
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 $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~.g)
\ (,n .50
'fl.--
fiee Use Only)
I This Application Becomes Your Building Permit When Approved
Paid 1/,---
t./v--
Date tt') .-;l1- .5
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
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Recet;5f i :)
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