HomeMy WebLinkAboutMech Permit 04-0063
CITY OF PRIOR LAKF:
tlEA.l.l1 ~GII ~- -
REQUE~T FO~ F~AL
INSPl?CT19N S..E~T TO
HOMEQWN~R Ol-95
. ~ . l. ... ~ ...' -- __ani"
ACE PERMIT
Date Rec'd
Z./O.o4-
File
City
Applicant
PERMIT NO. 0+.0 Obj'
tease type or print and sign at b. ..._)
ADDRESS
~J 0 9~ Rnro ra~ t IrtArt /1LJjJ_
ZONING (office use)
LEGAL DESCR.J.r uON (office use only)
LOT LI~LOCK I ADDITION I ~~
&0
PID ZG'. 382-, 04<J. ()
~=R ;:j~ ~~isa_TrrPfe!
(Address) 30 qfo r60b &>IT ~ ~ lU.ll}..
~;;~~ANT fl~~(oGe~ HeC!Y't~H-OJ11P.-l (Phone) o/5).-'?'QIY-O 7~8
(Address) 3<;<::<:0 ljJ { JJ'II I. /3 ~fArt1SI//I/(! .JJJ/II., .5'~~?d-
(Address) ~ (City) / (Zip Code)
(Contact Person) K 1'+ /\ . \ ,i- I~ ,,1 " (phone) 95 ;} -,f"(? /J r () ? ,~8
APPLICANT SIGNATURE WOu~ ^f~ DATE Fe}" /O~Y"
-- . APPLIC~T PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINn~ OUTPUT
(Phone) !t?~-2J.6-5?aL
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/05
r
FIREPLACE MAKE AND MODEL
o Other Devices
/feaf- JtJ{i-lo JlJltr!tr: alr>>-rfJ~~fJ.:!
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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 Pennit # 0 11-. 0 0 &,:7
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ j9...r-o
$ .50
$ ~JU
(' (Office Use Only)
. This Application Becomes Your Building Permit When Approved
BuildIng Official
pa~. crV
Date
Date Z-" If}. (/t/-
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt N.9- I
'1t"z...~
~J
ADDRESS
3()9~
DA TE TIME
SCHEDULED d- - 1- () 0,
Bu.6ca-J -;rL
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OL/~0<)
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
-sENT T
IN~-eFJCTIO.N LETTERS OUrl'
REbEIVED-NO RESPONSE
CL
TO
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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
JHSNOTl