HomeMy WebLinkAboutMech Permit 03-0246
CITY OF PRIOR LAKE
~
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
Date Rec'd
Pink File
Green City
Yellow Appliconl
(Please type or mint and sian at L . ".....)
ADDRESS
~?(j~3.;(~ l/,~elJjc('e,f ~/rc.r~
LEGAL DESCRir uON (office use only)
LOT 1BLOCK;;1 ADDITION ~/7lZh.Llaj(f ~~-f Is+- PID&S'" 3'0-0/01)
OWNER n,., r J n 1-1 n "',
(Name) ~ ~ e ('
(Address) ,?O ~-:?~ U tt!.II.J (,./Y'(->~ f C!Jrr ~
":i':;'~I'fes lcip j/ea,.titf /J?ptt!-/~)IieJ. p.t''1::~e) ~~- J>rl/l-rJ7~
(Address) s?5/J tu"l/wy /3 iJaOlS'!I//<ei ,$f//.. $'5&l'7
(Address) (City (Zip Code)
(Contact Penron) 11/ P- {is~.fJ- (Phone) '12.:t -llM -m '7 ~
APPLlCANTSIGNATURE ~ ~Od.~' DATE IJ1f7Y,c~ .4'#- IT2
r- APPLICANT PLEASE COMPLETE BELOW /
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MOOPT FUEL
FLUE ~ REQUEST FOR FINAL is INPUT OUTPUT
INSPECTION SENT TO HEATING OR POWER PLANT
HOMEOWNER 11/03 o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
EiAi~ Conditioning 0 Special Devices Required Side Yard
OVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL hi -11l:h! () IAtJ.Jj SL 7sw' PJ/5 tii'l&i'Ilk'f:
v
(phone) 9~'2 - 'I'tIJ -6"949'
FEES\...ftJ!.DULE
Industrial, Commercial & Multi-Family 1% 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
$39.50
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
c5 9rSV
_ .50
LlO 00
(1ice Use Only)
.lhis Application Becomes Your Building Permit When Approved
Buildi... Omcial
Date
24 hour notice for aD Inspedlons (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Paid l/o ( -
Date ~- S-3
Rece2i~ 00 l./
BY~
1/
;2- /-o{;,
I !) /e C-LJ 8r c~sT
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
303~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA TIOH
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:
DA TE TIME
o 3--,:}. qro
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rf
o FIREPLACE FINAL
o GASLlNE AIR TST
o
REQUESTS FOR-
'~KS UlJl'
_TNSP
!N_~TVITY
TB
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.
I/fS/{OTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE D1E J
INSPECTION NOTICE SCHE,DUfO 0//7/0'5
ADDRESS 30; 2-.. V, ~c.~
TIME
1,'~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:3 r 2 4t:?
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 EXIGRAD/FILLING
o COMPLAINT
~IREPLACE RI
o FIREPLACE FINAL
dJ:..GASLlNE AIR TST
o
t
~
COMMENTS: I. ifilL I~~ PIT5~
'2... c::ALl- f7:;(L A-'F~ I~
!Ns{Jcfi.-rrcN l3G-n.:;(L G ~~
/A/.
)zJ-wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKL..~L FOR REINSPECTION BEFORE COVERING
Inspector: e,/) ~.. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI