HomeMy WebLinkAboutMechanical 03-0969
DATE TIME
CITY OF PRIOR LAKE 7~ S q
INSPECTION NOTICE SCHEDULED
ADDRESS ~r- ~I 111~5
OWNER CONTR.
PHONE NO. PERMIT NO. ~ r~r
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RJ o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: rl/01~u / (k..
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/ / IjCr? \'"'::./
~ l--- t ~ _ ______
/wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT :A~ALL FOR ReINSPECT'ON BEFORe COVERING
Inspector: -1J!.! 7 - ~ 1J2ner/Contr:
CALL 447-9850 FOR THE NEXT IN~PECTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
. ."._-".._'''--_..,.._,..~.._--
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or orint and sijU1 at bottom)
ADDRESS
~5;) / I1!tA\Je.~
Tr-L
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
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&~e~~lJ\dl ~.:\,"~\ (),o tL.So.,~e...
(Address) SSJ J n1 ~\t e s l'r-L
APPLICANJ1 _ I \~\ .AI -A
(Name)_tr\l"\~ L~. f'I~*H~
(Address) J iLS8LJ P~bb)~. 'Er()o/( 6f-
(Address)
(Contact Person) 'Dea...\J Are.~
APPLICANT SIGNATURE U J1..d-- tlA I.~
Date Rec'd
7. t..3,oJ
~. :::~n ~~~ PERMIT NO'O.l-Otj(_a
3. Yellow Applicant ,,-/
ZONING (office use)
PID 2"S"'. /~S. 084-. ~
(Phone) 9S;)-;);J'~1J5;1
(Phone) 9S)- L/.IJ 7- f? U /)
~r~ mllJ ~37J
(City) (Zip Code)
(Phone) :L~;J-lf!I7-8//l)
DATE 7-.o.~-C:>{)t).~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT .8t AL TERA TIONS
FURNACE MAKE AND MODEL Amer.\l..t:tA/ S1:J7' tJlAJJ/J8/j~~ FUEL NOT
II .
FLUE SIZE --6> REtuRN OPENINGS INPUT 80~ OUTPUT ~ ~ ~
...
TYPE OF SYSTEM REA TING OR POWER PLANT
~arm Air Plants
Dbravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # () S .. 0 '1 (p 1
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lot. uce Use Only)
('"This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$39.50
$39.50
$39.50
$
$
$
. 39. SO
.50
VlJlbo
Paid
-!'(}.OO
Date I_ 2-3. () 3
:J!-~O~b /
()
T
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'~Adclr~ S~SJ- / ~e.s I-l...
'Heming Conhctor I h9t:.
.T esters/Sign...re '. :--:::>
.Permit.
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Pounds
Pressurl!
.a.s Une
Pressurized
Inspected
PERFORMANCE TEST '11
. 0
.Percenl CO2 ~ 'Percenl CO D ~
.- .-. 102 ~ ~ .StackTemp;;;S-~e;)
Finallnspeclion Dare 7-,;;.?CJ-=?