HomeMy WebLinkAboutMech Permit 04--0420
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONTN~mTDvDLACE PERMIT
Date Rec'd
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ADDRESS
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REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
~ ~:~. I PERMIT NO.I'l/.' - /J~I
ow Apphcanl /7'-1 V7t;7f./
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ZONING (office use)
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LEGAL DESCRtr uON (office use only)
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(Address) \L\lQ()~ ~~ 'Q~ M~_
APPLICA.lif . " 1\ A \ \ ~ ....l
(Name) ,f)\l i ~O\ A.....X,g" l"\L U l' (\~
(Address)\21rZ \ u..h(Xl9 \~ ~)( ~.
(Address)
(Phone)QS? -LR {J;- I ~q LL
(phone) QS2-tfQU- WS
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(City) -U-- (Zip Code)
(Contact Person)
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APPLICANT SIGNATURE "-
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--- ______ APPLICANT PLEASE COMPLETE BELOW
(. D~CoNsTRucnoN "5a"REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL ,,(].1tiXl II /I-/;IJ(I- L/.tJ FUEL f1:LJ g~
FLUE SIZE RE RN OPENINGS INPUT /JO,{)(X) OUTPUT r; IJ, 0
"-. YSTEM HRATINnOR POWER PLANT
DWarm Air Plants PLEASE NOTE:
DGravity REQUEST FOR FINAL Air Conditioner Units
J Mechanical INSPECTION SENT TO Cannot Encroach into
~Air Conditioning HOMEOWNER 11/05 Required Side Yard
JVent. System Setbacks
(Phone)
DATE
S~Lo~() '-I
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE S'-ttI!.DULE /
1 % of job cost Residential, Gas Fireplace
$39.50 minimum ,.
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Htatipg Only (New Construction)
$39.50
$39.50
,-
0,- 00
Estimated Cost $ .!UP aJ-
Building Permit #
(Dee Use Only)
-:;.' This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ -.3q ,.::;, u
$ .50
S L{{lJJD
Buildi.. OftIetal
Paid 4~,"'--
Date
Date . 0,/1-l.{
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt)io. .,./,/
Q~R/7}
By IA . .
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TillE
/,3.05
ADDRESS
/4&0.5 ~J6WCf()v /4;;)
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:
Ct,OJ(3 O(/e- I
/ /l/ ,if r!/T7 t/ I Y
-1- - +z., ()
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
VASLINE AIR TST
r~A~
U
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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI