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HomeMy WebLinkAboutMech Permit 04-0226 CITY OF PRIOR LAKE . HEA TING/ A TR CONnTTTONTN(;/FTRRPLACE PERMIT REQUEST FOR FINAL INSPECTION SENT TO HOMEOWNER 01-05 (Please type or Print and si2Il at bottom) ADDRESS I &L/'14 - /$tJ1J; J/I ~i!. Date Rec'd :n ~~ I PERMIT NO.{) U - ~"l./') ,Uow AppIiClllt --, t7 o-u:. ZONING (ofticeuse) R'5D LEGAL DESCRIPTION (office use only) LOTaI~H ADDITION (2l-S /I' PID(~\)-15tf;, 009-() OWNER '""t' /J (Name) I \ Ol!l Ct1 ()~ (" LJ 4 Lj- J S()'tk rs:t S.€: :r ~\_ 4JgL.kt UkJ) (Phone)-'/j, f)Y6ft! (Address) l7i:!?i1~I'} I tf,tbo tL..a. ~ m(1( L ,/11,J. 59-!ol tv (Address)' . (City) . (Zip Code) (Contact Person) l.?eDrtt~ !Jc;(,,/fZrL/1 {(Phone) ~#,. ~\ ...tft.1 ,~-APPLICANTSIGNATURE ~;;r/M./ DATE- Lj~~_{jf r - . r..u-- - '., . APPLICANT PLEASEj..COMPLETE BELOW DNEW cONs13VcnON IH1lliPLACE~NT 0 AL TERA nONS FURNACE MAKE AND MODEL r/ (( (f) A.J~ '-rl1i::J J MiL ~ ',110 t)btYl FUEL ~5 FLUE SIZE ~ \) l' j ~b RETURN OPENINGS &1 {'flN G INPUT ~ IJlJO OUTPUT ~ L0b TYPE OF SYSTEM HEATINGORPOw€f.~fJ!d.r lfft(1(V ,. ~arm Air Plants ~ pU",A.Jille--j 0 Steaxr I -- ~ ~OTE:. o Gravity . 0 Hot' :toner Umts o Mechanical1'Ylt.JA,)U A-1~{lpJI.) 0 Radi~ REQUEST FOR FINAL croach int~ . IiJJdr Conditioning ~ -7'Tr<j~ ~3/P- W,t/[] Speci INSPECTION SENT TO :ide Yard DVent. System 0 Other R 11/05 HOMEOWNE (Phone) _96d- f1t;- bqM (Address) FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39,50 minimum $99.50 $64.50 Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ ?/J/)/).~ Building Permit # ~ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 4~(){:l ,:e Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Paid j.J _ to. Dateq_ 0-6 <j Receipt No. j' Lib t;5L By Ih 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS C: t-!tJL/- SCHEDULED 1- ;< ""'66 (so lA JT- OWNER CONTR, PERMIT NO, OL/ - ~ d-b PHONE 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 o EXIGRADfFlLLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: -8ENTT TS FOR- lNSFEr'UONLEIl'ERS our!' -REGEl CL6SE FIbE-BBE ro INA-ruvITY 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! INSNOTJ