HomeMy WebLinkAboutMechanical 03-0718
DATE TIME
CITY OF PRIOR LAKE (;-/1-
INSPECTION NOTICE SCHEDULED
,,-
ADDRESS <..5 3 Cll( ICt) ,fVl~
OWNER CONTR.
PHONE NO. PERMIT NO. --3 -7/e'
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION Ja""MECH FINAL 0
COMMENTS: Vv~4.4...
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~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: V\ty? (g. I ~Q '3 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
..,
; .Permit#
"HMling Conlr8C1ot
"Testers/Signature "
~
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Pounds
Pressure
"0_ Une
Pressurized
Inspected
.
PERFORMANCE TEST
"Percent C02 ~ "Percent CO D 9'b
"Percent O2 q F/ "Stack Temll. 'I f ~6
Finallnspeclion Date ~ -s cC>3
/
CITY OF PRIOR LAKE
~ .
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
, ~ 4-. 03
I. Pink File PERMIT NO
2. Green City "/1-;::>-07/1)
3. Yellow Applicant (.,tJ 1I
lflease type or print and si2ll at bottom)
ADDRESS
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J IoIJ .J-~
sJ- ~rlJe
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER I
(N ame) ---1- G...W t' 1:.\'\ ~
ZONING (office use)
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PID25-~-OZO"O
(Address) ~3 1../1./
t.u ~\J
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(Phone) 9,~J''1'1)-~S;-
~I L~& /ljAJ ~~,~),~
APPLIC~, \ \ iJ.
(Name) r~";)r LA I{~ H~A. ~4 Co
~
(Address) / {,~ 'l<UebbJ~ &-lJDK Cf-
(Address)
(Contact person~e A oJ jt-...~ J \..
APPLICANTSIGNATUR~ ( 4--?'? ,ii~:;f
(Phone) 9.s-J-I/-'1 7-R JJ lJ
g)()rk/<e /2J~\.~S37:)
(City) (Zip Code)
(Phone) 95").-'/1/7-8110
DATE -'o-l..J~~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT 0 AL TERA TIONS
FURNACE MAK~trD MODEL !lmJl>../ k'1"J Sfe.,,' 6"'~ /1"1JJd/J~'l<< FUEL AJ AThaS
FLUE SIZE ~ RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
~arm Air Plants
OGravity
o Mechanical
~ir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
o(;:} 7 '6.
Estimated Cost $ . -=< <:t:t) - Building Permit # 03 -' () / V
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.?91 <D
.50
'-In I (){J
'mee Use Only)
fhis APPlift)~':1B1f.Jre ess Y Yo our Building Permit When Approved
flj/~ (P. 4-J)]
Building'Official Date
pai~. 0 cJ
Daz,. 4-. (}J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ReCent- /0
By ;.j!..
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