HomeMy WebLinkAboutMechanical Permit 04-0988
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
AD,;;[;.~~nrintandSil1.11atbot HOMEOWNER 01-05
"GDtfn ~C(O fd.~ lV1 ~S
Date Rec'd
LID,oo
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;;;.~:" ~:~ I. PERMIT NO. 04-. OQQ.a..!
3. Yellow Applicant I VU
(Phone) qPM -Lf'-f1- rJi/l::J.
fu.1'D)2.. ~la. 0531/3..
(Phone) 1/17/- 4:?,3--/t1+
R!JJ( mlJZll11 /Inn qJl)i/J[?
() 'I (A?<lreSS) c... . (City) (Zip Code)
(Contact Person) (It; KeJ i1 T,f( 11<5: (Phone) U67--1;;<9- /1-'14-
APPLICANT SIGNATURE ~~ ()I..{.4.~) -:taJ-IVI_ DATE q~;)){-()<1
LEGAL DESCRIPTION (office use only)
LOT (; BLOCK z.. ADDITION Dt:::.-~/aC) 8111
OWNER
(Name)
1<:tV! M eCkf tt
0b4o VDtlM ~ 1YI <A7
(Address)
~:;~~ANT nrnz- JOjt? 11)
(Address) /4"715 J !2iJ W;e! TJeI.
ZONING (office us,)
tel
PIDz5. 399. 017.0
-.
APPLICANT PLEASE COMPLETE BELOW.
ONEW CONSTRuCTION 0 REPLACEMENT jf,AL TERA TlONS- ..
FURNACE MAKE AND MODEL (.JJ01+ Vl-ea.t~. I A DrtP FUEL Yltll 1- -cr (..l.0
FLUE SIZE RETURN OPENINGS INPUT Ie;, ODD OUTPUT '
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVen!. System
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job coSl Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit # 04- . 09&6
$ Sq. '50
$ .50
$ I_U), ou
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
lis Application Becomes Your Building Permit When Approved
paid,tf(} . 0 0
Date9. 30, 0 f-
Building Olticial
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
I Receipt ,NO. .f1'Ififi!-
I BYP--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SO '/0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~rqc;,;:>>
r/ -
DATE TIME
SCHEDULED ~/?; {,. \
~ds-e~~_'
o y~ 9t'F
CONTR.
PERMIT NO.
o PLUMElING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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-
. ~ORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR EINSPECTION E1EFORE COVERING
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-
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$Nlm
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ,;L~S.,..;'
A'!~~~~ ~
CONTR.
C30Fr?F
ADDRESS
57J z/o
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
r::;;;'4J..e-
_.L:.. 7~ A~ ,...
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~RRECT WORK, CALL FO EINSPECTION BEFORE COVERING
Inspector:
Owner!Cont~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
U<SNOTI