HomeMy WebLinkAboutMech Permit 04-0650
CITY OF PRIOR LAKE
HEATINrlATD r<nl~TTnTTnNTN~Hn..,1l".PLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-05
(Please ~ or print and sign at b "~'""'.)
ADDRESS &'1-;1 3 () tJ u;f1, Cl LAL.-h u.R..-
JJy " t:1Y- ~ fJ . ,"') -::> 37;;t
LEGAL DESCRll'uON (office use only)
LOT BLOCK
ADDITION J~;t- 0 ~
OWNER /J j c
(Name) LJV"a...tA ac....h.wv~ 1--z.....
1(''-I~3 b'-UvoI-h ~
(Address)
Date Rec'd
~ ~:~ PERMIT NO.A /1 ~ / _c::-~
Yellow Applicant f../"" ep..J......I
ZONING (office use)
PID .as- 9lrJ. -03:2.:-0
(phone) q S-d - '15:..7 - ? 0 i1
Pn'br- ~ (l-'t..t--J ~),j7~
APPLICANT . /I _ 1\ ' .
(Name) LJXflPk1 rn')r / ~--.f.- .
(Address) ,':?Q B S N l51h-~', ~k-;lS-
(AddresY,
(Contact Person) r: < t',V) e...e KJJ€.v\.
~..~i?
~PPLICANT SIGNATURE
(Phone) ~~-ql?ct)-~~a
nY~La~~5'
(City) (Zip Code)
(Phone) U 57 -98:;J. - bLc,Ch,
DATE ~/:;lJ / r>-/
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TlONS
FURNACEMAKEANDMODEL r;tro&~ GktJ'rDRn FUEL _kJcd-(~~
FLUE SIZE RETURN OPENINGS INPUT . 80! ([Do OUTPUT 7. =5 ~OO
TYPE OF SYSTEM HEATING OR POWR.R PLANT
~ann Air Plants
OGravity
o Mechanical
. . 2Air Conditioning
Y JVent. System
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/05
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEES'--nI!.DULE
Industrial, Commercial & Multi-Family I % 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
Estimated Cost $
_~q I 5D
Building Penn it #
r liee Use Only)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
This Application Becomes Your Building Permit When Approved
Bulldiq Oftidal
Date
$39.50
$39.50
$39.50
$ sq 1>>0
$ .50
$ LbO ti~
Paid / / ,......-
'-f t) /
Date ~ - J-5-q
ReceiPtt~
BY~
V
J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
...
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
-iZ-~~IME
l
ADDRESS
/b'V..f
A~fi
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 ~MBING FINAL
.....,B1t1ECH FINAL
y-~fo
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~~~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~./~OR REINSPECTION BEFORE COVERING
Inspector: //C/~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS/IOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!