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