HomeMy WebLinkAboutMechanical 03-0285
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
D FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED'
1..3'3& () /-J..,dlM.-u
r
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL /.
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DATE TIME
Ca- /y
Au-
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D EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ :ORi/CALL FO~ REINSPECTION BEFORE COVERING
Inspector: II VY' {r {"( tfY Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
---
APPLIANCE
PERFORMANCE TEST
Standard Heating
410 West Lake St.
Minneapolis, MN 55408-2909
612-824-2656
Name of Tester e 4. J.J..J"
Date '7-~;1" e.1 "?
Address /33&/7 d-~Li-,,,,...:.~
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CITY OF PRIOR LAKE 'JrI [E@[E 0 m>~ ~c'd
HEATING/AIR CONDITIONING/FIREPLACE PER ~n:T -
REQUEST FOR FINAL MAR 1 7 2003
INSPECTION SENT TO
HOMEOWNER 5/03
. Pink File
:. Green City
. Yenow Applicant
J
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PFitMITNO C3 dE-
(Please type or tlrint and sis at b~~~)
ADDRESI3:3 CoO
LEGAL DESCR.J.r llON (office use only)
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. ZONING (ofticeuse)
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ADDITION
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APPLICANT S1ANUAKU HtAllNb & All'lllUI~umOM\N' ~
(Name) 410 WEST LAKE STREET
MINNEAPOLIS. MN 56408-2998
A19_~_0Ai:tA
(Address) (City)
(Contact Person) ~Jtt U~ <i7) (Phone)
APPLICANT SIGNATURE C~ fj ~ ~ DATE
.~ ~PPLICAN.flLEASE CO~PLETE BELOW'
DNEW CONSTRUCTION ~REPLACEMENT D ALTERATIONS . ~ J
FURNACE MAKE AND MODEL ~1l/\,t:'ivWJ 3SS . FUEL nt!1CF~,-d/ S~<
FLUE SIZE RETU~ENINGS INPUT ~! e-;:>O OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
':8;1warm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~Air Conditioning 0 Special Devices
[jVrent. System 0 Other Devices
q~~) </q~~q~.
(Phone)
(Address)
(Zip Code)
J
31J1lh~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I FIREPLACE MAKE 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
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 7 0 b <1
Building Permit # ()3.... 0 ZBS-
Building Official
Date
$ ~ ~ . SO
$ _ .50
$ l.(()#UO
pa~O. &0
D~_ /7/()3
ReceiPt~9S~
BYcf '
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'lice Use Only)
fhis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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