HomeMy WebLinkAboutMech Permit 03-0444
CITY OF PRIOR LAKE
tlEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 8/03
Date Rec'd
(Please type or orint and si2ll at b . '. ,.." ..)
ADDRESS
1. Pink Pi!" I PERMIT NO &. '-Iff
2. Green CIty . 3 _ I ,
3. y"nOW Applicant ....,
S-d/~
~1'veY kJd
ZONING (office use)
JCj
L. EGAL DESCR1r nON (office use only) 1.. A .
LOT3 BLOCK ( ADDITION ~~~. ~
grt:A PID85-CM,O~aO~'-O
OWNER
(Name)
..,4 y /
,-,J J 'K roJ-~,./j f ,6) J ;I-'..., R aA
(Phone) 9~::1 - ~~7-7.~
(Address)
APPliCANT
(Name) AM"fh RlJbl'~J, ~AJ ~~~ t4 HI;'" (phone) 763 7$'3 S99"3
, '....
(Address) 19066 ()q'c.p-'u A4JJ"JL A'JA/ S S 3o~
. , (Address) . (City) (Zip Code)
(c. ontact Person) :::i1 All:' Ie; .l:.?N (Phone) 7 6""f!; 7< -:r < () 9 "5
(~PLICANTSIGNATURE ,~i th-.- DATE A/-/6 -0 ~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL ~ I n1Ct /V ~l) T 100 lb U J.U3.L} FUEL I't/a i- ~ r
FLUE SIZE -9// RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants
. :JGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
n Hot Water
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/03
r~.E.I ~n.r...I7V:LJ~
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family 1 % of job cost
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Residential, Gas Fireplace
Estimated Cost $
Building Permit #
~
(
) ~~e Use Only)
}- . - This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3q'-SO
$ .50
$ Lft).-
Building omeial
Date
Paid Llt;.--
Date'l_/6_ 3
Recer:t!lo '7 b
B~
V
24 hour notice for aD m,,'1! ..(.10115 (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDA TIOH
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CA TE TIME
SCHEDULED U.J ~ (j ) ~ 0 ~
5 :J/~- (Lredrr k/'I/~Nd
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAOIFILLlNG
o COMPLA.INT
o FIREPLACE Rl
o FIREPLA.CE FINAL
o GAS LINE AIR TST
o
-8ENf Two-REQUESTS-FQR-
IN~PErTillN LEI)'ERS UlJ'l'
-RECEl-VED NO-RESPONSE
CL
TO
IN_~TIVITY
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL <447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ~ SAFETY!
/JiSJ'iOTJ
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