HomeMy WebLinkAboutPermit 3832 B 11
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APPLICATION FOR MECHANICAL PERMIT
SCOTT COUNTY, MINNESOTA
l\ fJ- K 1=2 0U? ~ Permit number --3 'i<: ? ') - E- I \
Receipt number 1.3 I .3 t...
- - - -. - - - - - - - - APPLICANT FILL OUT INFORMATION BELOW: - - - - - - - - - - --
Project AdaJress J!J3 ')/ L.I'IN G I=oe 6 /51,rl Twp/City
(leave blank if address has not been assigned)
Sf R. I d.J('j
Township/l ;ity
City
State
Zip
Applicant. _ G.f'> ~_~.t:'~ Phone (Home)
Addre! s ....,1 :l ~ ~ 0 ()I/- 'J!tVU t4 11 rJ t City --S.fAJo- State
Owner (if a her than Applicant) .JAtlJPS J...M II Phone (Harne) I..f'ln - :::i~/9
AddrB! s j 1. s~J Mill (~ I BIud- City}R Me J..IJJ(~ State
(Work)
;fAl
.
Zip .ttj":? ? ??
Addre' s
Project LeJal Desc.
Phone (Home)
City
(Work)
JYIN
(Work)
Zip s:r-d/</
Contractor Name
State
Zip
Parcel No.
Section
Lot
Block _ Subdivision Name
CHECK APPROPRIATE ITEMS BELOW
BUILDING )TYPE: Residential.\(' Commercial Other
I
New Conslruction _ Alteration _ Replacement -P-- Addition _ Woodstove _ Other
FUEL TYPI:: Natural Gas_ Fuel Oil_ Liquefied Petroleum _ Wood _ Other
FORCED ~ IR FURNACE
MAKE: ..b. W-1ItY
BTU's(TO~ S:
AIR CONDITIONER
*1 ton equals 12,000 BTU's
Round total BTU's of the
TOTAL DESIGN HEAT LOAD
furnace & A.C. up to the
BTU'S
FLUE TYPE (-, {laB VCIUY-
VENT SIZE:
j.,"
next 1 0,000 BTU level.
RMillrprl I)L1'> J:="uRIlJAtNJ
,
LIST IN DE fAIL TYPE OF WORK BEING PERFORMED
Total value of work performed ~
I hereby a Iree that the work for which this permit Is Issued shall be performed according to the approved plans and
speclflcatl )ns, the applicable County/City ordlnance~ the Minnesota State Mechanical and Building CJdes.
Applicant ~;jgnature ~ ~ ~ ""A~ Date */ ~'/
- - - - - - - - - - - - - - - COUNTY BUILDING USE ONLY - - - - - - - - - - - - - --
REQUIRE!" INSPECTIONS: Rough-in and gas piping air test yes _ no _ Orsat and final: yes _ no
Other
Approved. t! ~l/L - By Building OffiCial", ject:o, ex" regulations and lr..f~wing conditio~
/4Ai ~-~ ~(o\IT :%, fl'c~~
SIGNATURE .A-..v7.;:/ /YJAv1? //i!J/ Date LI -!5" -97
------~----~-1--~~~------------------~-----
ADDITIONrL COMMENTS: FEES: Permit :3 0 , U-<()
I ~~~~
State Surcharge
..S-o
TOTAL FEE
::50 I [;~;;C:')
06600-2821 14-91 500)
White. County Yellow - Interoffice Pink. Applicant
COUNTY OF SCOTT
INSPECTION NOTICE
03832
SL
Bll
PHONE: 612-496-8334 OR 612-496-8475
DATE!L/1.!i.{5b TIME: 11'0
SCHED~~2P/04/14 11:30
COMPLETED
PERMIT NO,
TOWNSHll '/CITY
ADDRESS
OWNER
17351 LANGFORD BLVD
T.!I.T.RV
CONTRACfOR !':r.O'l''I' 1I T. RRI,..
TYPE OF n ISPECTION
COMMEN'S:
manometer /orset
IV b--..-1.A/7r~M~
,
/_ J nr.h
- - ..-
- ..".?-
I.P~
D.K--.
(f2f-'Work ~ atisfactory: Proceed
o Correc Work Call for Reinspection before Covering
o Correc Unsafe Condition within _ Hours Inspector will Return
o Correct Work & Proceed
o Stop Work Order Posted Call Inspector
o Inspection Required Call to Arrange Access
BUILDING INSPECTION OFFICE: 200 Fourth Avenue West, Shakopee, MN 55379-1220
<:---
A II callf~rthenextinspection24hourSinadvance. /J ."~
Ow"""""r"'" 4V 0"^"", 9)()'L,,0.y7 --' ,_ / fi~ y ~4U'r
A )DRESS
OWNER
C DNTRACTOR:
COUNTY OF SCOTT
II ~SPECTION NOTICE
PoRMITNO, :S,(~d.-fi-JI
T )WNSHIP/CITY .:s L COMPLETm
/ 7~q-J h-..~o g.Lv-/)
I..a //; /
PHONE: 496-8334 or 496-8475
DATE TIME
SCHEDULED;I- /1. -~ll /tJ: 30
o "DOTING 0 PLUMBING RI
o ~OUNDATION 0 MECHANICAL
o =RAMING 0 WATER HOOKUP
i.: 0 NSULATIOfiN , 0 SEWER HOOKUP
I-~D ~ALL SO 0 SEPTIC INSTALL
1.1... 'INAl . ~ 0 SEPTIC MAINT
Vj 0 'ROGRES 0 SEPTIC FINAL
o )EMOl 0 PLUMBING FINAL
~ 0 'IRE PREV, /?J 0
~ C JMM~S(9I "}1I,nf? ;~
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o sITe INSPECTION
o EXCAVATINGGRADINGiFILLlNG
o LAKESHORE/WETLANDS
o COMPLAINT
o FOLLOW-UP
o FIREPLACE,CHIMNEY THROAT
o FIREPLACE CHIMNEY FINAL
o GAS LINE PRESSURE
o
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PROJECT COMPLETION DATE,
0\ fORK SATISFACTORY PROCEED
o ( ORRECl WORK & PROCEED
Jlr<.,.ClRREC 1 vV~L ~\'JH REINSPECllON l:n:FUI;~ (OVERING "I
-'[j UUHHtCT UN'SAFE CON'DilION WITHIN_____ HOU-RS INSPECTOR WILL RETURN
o ~lOP WORK ORDER POSTED CALllNSPEClOR
o I ~SPECTION REOUIRED CAll TO ARRANGE ACCESS
o PHOTO TAKEN
BIJILDING INSPECTION OFFICE
Courthouse A 102,428 S. Holmes St., Shakopee, MN 55379
Call lor the next ins~ction 24 hour~ in a,dvjhC~
OWner/Contr. on site _V ~ D.... ,i;^ ~
11 IJ fJ
Inspector l.r1.. ' .
"'~t'~~07 16-975MI
White Copylnspecl0r"s File Canary Copy 'Records Pink CopylSlle