HomeMy WebLinkAboutMech Permit 03-1547
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~'.LKEPT ,Ar'~ PERMIT
q(J. W
Date Rec'd
REQUEST FOR FINAL
INSPECTION SENT TO
(Pleasetypeorprintandsi~atbottom) HOMEOWNER 01-05
ADDRESS
~3o>-a ~t PDi ht Clr2.
.1 I. PERMIT NO. ()3 -/507
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITIONc:.-=JM~ f3
;:, L5 -#d-9
PI~5-a(j .....oog-()
~=R. {\AC(;JU1 llJnL (phone) t1tiZ-IjL/7t(srfrt;
J '
(Address) 63CJ-(3.. -~t- PoJh-r r!ta - pa()~ Iftk:v
APPLICANT 11. IIJ A J 11 J An 4. ":J Q / t.Ll4-
(Name) L/rYJ2-- K.J/I a ) (phone) U' "1/- 19',:/-/ r r ,
(Address) /4'71'5 cf /Z})kJe;ef TJe1. I!ofl/7J1)Ztltf JrJn ~~r
, , () 1 (A~ess) ~. ' (City) (Zip Code)
(Contact Person) (If? JelJ '/1 T.?ft!(<S. (Phone) f67-4d2- I !~-1-
_p.-rICANTSIG~ATURE hj~) -::r;:(bl/J DATE //-;;"/-03
APPLICANT PLEASE COMPLETE BELO~ .
DNEW CO~STRUCTION ~REPLACEMENT .'0 AL TERA TIONS- _
FURNACE MAKE AND MODEL I fV\ V1f)~ --- b (t ( }J\?V - ~ltl t- oq 0 FUEL n M-bn6
FLUE SIZE RE~ OPE~GS INPUT ?1!JfJtt17 O~TPUT ' ,-
\~ ~ TYPE OF SYSTEM
J\ 00 lf ~ DWarm Air Plants
~P\ V\: DGravity .
Mechanical
~ .Q ~ir Conditioning
[jY ent. System
HEATING OR POWER PLANT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/05
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE '
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
:-:?,q. 50
. .50
..q () . (}U
se Only)
.'
,lis Application Becomes Your Building Permit When Approved
Building Official
Date
Paid t.;{j._
Date
/!-if3- 0'0
Receipt ~5 g L/~
Bbo
::_L
U'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
;? ,.. 1- 0'
Frt?5f- fJf e /~;-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~- 3 ;).;)...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
DA TE TIME
03 -/51''7
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
SmR-
TN~-eEC'llfiNL.EIl~-ERS ULJ'l'
---REbElVED-NO
€b6SE-FILE-DBE Te
INACTIVITY
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.
I/tS/iOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH<< SAFETY!