HomeMy WebLinkAboutMech Permit 04-1147
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~~
~~ dr"', Ue~ c)-
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OY-//r7
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ~CH FINAL 0
COMM~TS:~ ''''''- /
~46~~d h~~~~e-t- /?/r
/ _ M p-
/'
~~/~-/J
". ~
~~VJ.fi:?~
cJ/.\ c, .~
,
4;"
/~s.~
~
tY/C
/1/ ,,/" /?
/://C v~/-rt. ~J"O~
//.L ~S /t: t
/
~~
AORK 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!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1', r,OtY
1. Pink File PERMIT NO
i: e:~:w ;~~icant · 04-- . / /Lt.1
:ase type or print and sign at bottom)
rl.DDRESS
L538 +\CU-bc::r Ol ~'.J QL..-. tJ S
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK / ADDITION 7J~jyDr r/;-ct-
PID zs: 255. () 0 Z . 0
OWNER
(Name) cJorl n"~~ U~(""'~
(Address) b5.:>8 I \Clr~i (( · ') r~_r r:
(Phone) Ll5~ql.c-l~4Y.q
~ _ .H-\ Dr lCL~ \ tl'\.J Ss~r7~-
'J -..
APPLICANT
(Name) ~ urn\ t""'""-", ~ I +h'f::J ci V-f-l b · (Phone)Q5;;l. --4.31- '10qCj
(Address) CcQ,~ \ :). ,*) \~, .c H tOo (l.pt:>.\ e l Y:ll \ ~ ,C)S \d-L-'
(Address) f (City) ~ (Zip Code)
(Contact Person~ LLLi d ) (Phone) ~f"("'\P)
APPLICANT SIGNATU~9::S-~{) ) DATE b- z.g: -0-,-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION >Q.. REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ilirri c.r-- 5&0VAOQ()- 'Y:> FUEL ~rCL1
FLUE SIZE 7 i' RETURN OPENINGS INPUT ~~ OUTPUT ~C:C:::f::)
, ,
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
o Gravity 0 Hot Water
lZtMechanical 0 Radiation
~ir Conditioning 0 Special Devices
c:t. \ ' :JVent. System 0 Other Devices
l'il\i:rt:>~AKEANDMoDELCb..rr'l ~ - 3~T""-A DC:l:::J
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
- a' J~ 'J\
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~ c:; ~~
P
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # ()~ ,1/4-1
$ <-Jq.5a
$ .50
$ 4C).CD
(Office Use Only)
T'his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid ~. t/lJ
Date
II. 8. (J;f-
Receipt N,# 93+ Z-
BjPI/ _
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
...
(