HomeMy WebLinkAboutMech Permit 03-0136
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~TKEPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 8/03
Date Rec'd
I
~: ~ ~:~. I PERMIT NO.O 3-/ ~ I
3. Yellow Applicant vb
'll'lease type or print and sign at bonoll
ADDRESS
I (g \ 1lo ~ V l1t1.s-\o-f\
LEGAL DESCRLt"uON (office use only)
LOT ~BLOCK I ADDITION
fWt,.
~
ZONIJ'G (office use)
72~
I
PID;25- 00 j- ()8J-(,)
OWNER a.. '\
(Name) fCAM"J
(Address) ~ \ 1lo fA 8.ft\
'W~rrr i>MnS>! 'd Ie ~ n~ -l It, c.... (Phone) q.:;;;; - 8'1 L/~ 0005
(Address) J~l, ~ \ tho ck ,L~\CM\ d- firoc. S. 5fA Va.q ~ ~~3Jg
(Address) (City)".) (Zip Code)
(Contact Person) jv.\:\~ (Phone) 9'5~ -8Lf4 - 0005
DATE ,-~, - 03
(Phone) q5:;>-LJ Yo - 3 tj 15
~.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION (VItEPLACEMENT 0 ALTERATIONS A I._L
FURN J A ^~--X GtJO LA H 31,11 (170 FUEL /vo.:x, Ga.S
FLUE REQUEST FOR FINAL GS INPUT 10 vuO OUTPUT ~ t./, (jOO
INSPECTION SENT TO J - .
HOMEOWNER 11/03 HEATING OR POWER PLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices Required Side Yard
o Other Devices Setbacks
APPLICANT SIGNATURE
iMechanical .
Air Conditioning
Vent System
Lu'\~
\ ?f(U.. o~q
;).. '\O~
FIREPLACE MAKE ANDMODBL
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 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
Building Permit #
\
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$ 3Q, 5c>
$ . .50
$ '=ID ' DO
,
\
\
''lffiee Ule Only)
this Application Becomes Your Building Permit When Appro~e~
-~~
~ !~
~
Paid L-/O I""""
Dat~_ 3-3
RLl~t lJj'bF
B~
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/~/?~
SCHEDULED ,;? - / - G
C- UO;tJ 5 I-o/'-l
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03- 136
o FOOTING
D FOUNDATION
o FRAMING
o INSULATION
D FIHAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o E.XJGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-sENf T TS-FOR-
lNSPF,rTlO.N.LEI1'~KS UlJ'l"
-RECEWEJ} NO-RRSroNSE
CL8SE F-fbE--DBE TO
INArTIVITY
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IXSl/OTl