HomeMy WebLinkAboutMechanical Permit 03-1448
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
q'1ease~ornrintandsimatbottom) HOMEOWNER 01 05
ADDRESS -
,"'I~~8 IMti.~.W
-
LEGAL DESCRIPTION (office use only)
Date Rec'd
. ~:~ I PERMIT NO.OO. "JIIIICA'
lW Apphcant V """1 () I
I ZONING(office",,)
LOT
ADDITION
fAtUI i4- /€r S I .,C;-
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PID,;l5-,::l.L6-' m/-()
BLOCK
OWNER
(Name) C1CLmf"';'-, fL\,~
(Address) .3CO<O Te:deL ~d. ~.,
APPLICANT .
(Name)~\er.'-, 1,,~-:tt"'\""-,Ic\P, +-\tn.
o
(Address) L"q-~ w. l<-ll/)i:b...co.r. '* lei."
(Address) ~ ,
(Contact Person) 1"""'01\ l~ Ier.=-..
/' -<\PPLICANT SIGNATURE Q.u....~ 1L LU~--v.;;>-
(Phone) ~-L\L.\[l-,m 0
Pr\Dr LDJ<"e.._ '"Yr'\tJ S'O 37d.-
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(Phone) 9.S;;).- 4;:'" 1- ,('{:J q
n R'IP l)n IIPI/\ SSI.;;;ll)_
(City) U (ZIp Code)
(Phone) q~-'-13\_T7C::HQ
DATE lO-dl-03
APPLICANT PLEASE COMPLETE BELOW
'2> . \e/"" DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
rU~L\CE MAKE AND MODEL Euv-nrrlYY\ ~ P2.LJS Bl--\WN~ FUEL
FLUE SIZE /",11 RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
~echanical
OAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
~ot Water
o Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
: Setbacks
FIREPLACE MAKE AND MODEL
-...
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % 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 CtC> Residential, AC Only
L.\lDOO .
Estimated Cost $ ~lJ: ~f'I Building Permit #
I
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
fice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$39.50
$39.50
$39.50
$
$
$
.5q.ED
.50
U/'\CL)
I Paid 1/0.---
I Date 10- (3t-?J
I R:1IS~R
I~
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
-?EY %J'I It!
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
o ~R HOOKUP
.)2I'"PLUMBING FINAL
D MECH FINAL
DATE TIME
-Jqh ,-
..1 -/YVr
D EXlGRADIFILLlNG
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
D GASLlNE AIR TST
o
COMMENTS;~ ,}7 / /'/ /
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-/'I "IF .
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X WORK SATISFACTORY, PROCEED
/;;' ~ORRECT ACTION AND PROCEED
o CORRECT ~ryrj;J!fOR REINSPECTION BEFORE COVERING
Inspector: I' f,/l/ /\.1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH I. SAFETY!
Job Addr-. ~~loJ.l ~
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