HomeMy WebLinkAboutMechanical 03-0629
DATE TIME
CITY OF PRIOR LAKE , --.t -'2 J'{/)
INSPECTION NOTICE SCHEDULED
ADDRESS 401 ~ ,Eav G lu~
OWNER CONTR.
PHONE NO. PERMIT NO. '3-C21
o FOOTING o PLUMBING RI o EX/GRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~ft~ /I+C
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ G - ).~/O] Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
..
River City Furnace and Fireplace
9928 Bluebird Street
Coon Rapids, MN 55433
(763) 754-21"
Attsch to gas line adjacent to regulator
Date
~ --:. U-t!J,J
~t-' "f~SL4t/(.Jj
Name 01 Teste,
Comp. Card No.
Pl8SSUffI
~. ts
~()/~ C,fvCtA/1fE
77<, I~JIt')/~ U);;-
Job Address
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Stacie T."., I () tr"
Combwtlon air Is ~euppI/fId PfH
UMC Sec. 506
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Percent 0,
Percent CO
Percent 00
Input
04/05/02 FRI 09:37 Ffu1 6124474245
CITY OF PRIOR LAKE
141001
ell "i OF PRIOR LAKE
HEATING/AIR CONDl.l.lONINGIFIREPLACE PERl\'lll
Date Rec'd
CP1ellSetvue or urint and siPl1 at bottom'
ADDRESS
qIJIY Ew tLlH~ T~
i: ~ Z:kuI I PERMIT NO. () :3 -- &3f1
ZONING (otftee use)
1:/5D
LEGAL DESCRu- .l.lON (offi~ u.n only)
LOT 'I BLOCK \ ADDmON
OWNER
(Name)
(Address)
(J~'IYJd-iJ;G,
I
\
15"8 6, L. &u-r
~~
pnV?6 - Of9-"u6/-()
99 ~lj"1~{, "3t/7
(Phone)
/121t'/L L./.Jf'~
APPLICANT
(Name)
.; .
(phone)
River City Sheet Metal. Inc.
~~Lts tslueOlMl-eil9t. N.W.
(Contact Person) Coon Rapids. MN 55433
\ Ih3 754-2199..0/ ./)
APPLICANT ~I~NAtuRE ~~; CdVU4 n'HJP
(Address)
(Qty)
(Zip Code)
_ .__ (phone)
DATE
~-,; I-/!)3
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~PLACEMENT 0 AL TERA TrONS
."URNACE MAKE AND MODEL I~EYZ S1r rn(/P/J~-/c../ . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
. ..a1WannAir~ 0 Stcam
DGravity 0 Hot Water
o Mechanical . 0 Radiation
~if Conditioning ~Af4e II:T?- 0 Special Devices
OVcnt System 38'"~A- R~~ o OthCl'Dcviccs
FIREPLACE MAKE AND MODEL ~ FU W t- 'A-I c...
--
PLEASE NOTE:
.Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum ..... .
$99.:10 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (N=w ConStnJction)
Residential, Heating Only (Ncw Construction)
$39.S0
$39.S0
Estimated Cost :$
(P7t>O cJ!
Building Pencit #
HEA TINQ PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ,3q. SO
$ .50
$ 4-0.00
(011ice Use Only)
This Application Becomes Your Building Permit When. Approved
Building Oflidtl
...,.....
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I Paid "'it L( 0 _ -- ,Recei~ Q L/ C)z;-L/
Dato-_ ;< / LJ 3 By 9tL./
. D
24 bOllr "otice for all inspection. (952) 447-9850, fax (952) 447-4245
Date
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