HomeMy WebLinkAboutMech Permit 03-1360
CITY OF PRIOR LAKE
HEA TIN~I A TD rOl\TnTTTOl\.,. ,,,,,,I"'" I...'.......~PLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/03
Date Rec'd
~
la~.qJ
~ 1YD<<; or mint and sip at l. . '.'., ,.)
ADDRESS /'
~ S ~ \ ()<t~.>~\i)O ~ l, r ~~ '::> ~
Pink
Green
Yellow
E!:.iQnt I PERMIT NO'03 -/3fo 0
ZONING (ofliceuse)
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK I ADDITION II/~ #JU/-J (3 td--.
PID ~'f"l.' 10. OO,~u
OWNER
(Name)
(Address)
~''\4
3Sa\.
tv '-\ '\ ~\
~1.~ Wt>O~ ~~~
(phone) ~ < )-~\J.""~~ \ d
APPLICANT 1\,...... ..1- f\ \ ----..
(Name) ~\ ~ l"" -LY\~
(Address) \ ~~ ~ \) ~ ~ ,,"-0 ~ ~\I "
(Address)
(Contact Person) N ""'~. ~ \. 1\
~PLICANTSIGNA~U~
I .
-.
(phone) '\ ~ ~ ..~~ I' 8 '~l4
Q yo 1 ~l~\,ll~'- 1\~ 55 ) , ~
(City) (Zip Code)
(Phone) ~ S ~ -~~., - 'g\ .~ "1
DATE \ ~ - ~ - ~~
~ ~ LICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TION\. 1-
FURNACEMAKEANDMODEL t",...,...~ ''''" $~ - M V r - ~Q -\4 FUEL N ~
FLUE SIZE \' V <- RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity A. t lW
ttMechaniCal "" \
Air Conditioning ~'"'" _~ t ~
ent. System ~ :f\ G
FIREPLACE MAKE AND MODEL
HEATINGORPO~RPLANT
REQUEST FOR FINAL
INSPECTION SENT TO
HOl\fEOWNER 12-05
I PLEASE NOTE:
ir Conditioner Units
annot Encroach into
equired Side Yard
etbacks
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
\r-
,
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, Additions & Alterations
Residential, AC Only
Building Penn it # 0..3- /.:J (, iJ
$ <,q$~
$ ~50
$ 'u,O ~
$39.50
$39.50
Estimated Cost $
lice Use Only)
"his Appli7'}trr: ~ecomes Your Building Permit When Approved
r JI"J}' llL~. 07
Building Omcial Date
paid~. f./lJ
D'b . tfI.. ()7
Receipt ~ 73
By -:::l- .
o
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ADDRESS
,350/-
DATE TIME
SCHEDULED d - t ~() b
Ba 95 WO(}cI (!, J If-->
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
113- /3100
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE Rf
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-sENT TWO REQYESTS-FOR-
~Jr ~r ~EKS OU'!'
-RECEIVED
NSE
C:b6SE FIbJHWE ro
lNArTlYTTY
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!
J}(S1(OTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE . TIME
SCHED~LEQ: ? h ~t/'
~";
JSOI &S5U/oocf CJ.-
ADDRESS
OWNER
CONTR.
PERMIT NO. CJ.:? - /J ~.eJ
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~UMBING FINAL
o SITE INSPECTION ./ MECH FINAL
COM~NTS:/ / ./
/<'e~~C"cd /C-;"-/t-YC,. ~#/(
/'t - /
/... - -... _""1-0
/I/~t</ CAr';-/ e ;-- 71/.. / C,Jtfl~h::; y' c/ r::;,
/~... //
~~~( ~ I O/sa-;l/ 7;'..r /
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
.A / /' / / .-,
ff/C V~/~.,? C:;'r.Y/ '~r
~IJ; I ~ Jt 7% /lcPJ tJ -:sJ /
(/ V.?- L / 'J"-/
~ /'
~) j~e
1?v,;L /.h
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK;..~;.L ~,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/
p;!,y~ G// ",G" ~/:"-Y"c /~
----
::::3~vf~~~~::~:-~~=-
*Heating Connctor Me I no AIR
*T esters/Signalure ~ ,.{tJ M
Date
Pounds
Prasure
~
!!!!!
*Gas Une
Pressurized
r
Inspected
*Percent cO:!
PERFORMANCE TEST
~ . y 9'" U *Percent CO 0 %
1. 'f?' 0 fItj'f :Stack T 10 7 ",
_ emp.
~,
. Percent O2
Final Inspection
Dale
- '~~1{;:~,~,"',,*'C~