HomeMy WebLinkAboutMech Permit 03-1001
CITY OF PRIOR LAKE
l1EATING/AIR CONDITIONINGIFIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/03
Date Rec'd
ink File
Ren City
ellow Applicant
PERMIT NO. (}.3 - /0 () Y
(Please ~ or 1J1'int and sian at bottom)
ADDRESS
/l./Q3C)-
dJw~ (]I-
,
ZONING (oftke use)
LEGAL DESCR.1r uON (office use only) .
LOT$~.3 ADDmON j1~ ..1? + (3 rd.
&=~{/t:(. J r mw
PIrQ~ - 34;)- Crd-o-.....6
(phone) 3S-b.J-;J.U;--d:19S
(Address)
APPLICANT
(Name)
(phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) n (Phone)
r4PPUCANT SIGNATURE ~ l7ft" cL_ DATE '7 " ~(J--CJ ~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN REQUEST FOR FINAL --- OUTPUT
TYPE OF SYSTEM INSPECTION SEN t PLANT
OWann Air Plants HOM T TO PLEASE NOTE:
OGravity EOWNER 01-05 Air Conditioner Units
o Mechanical Cannot Encroach into
OAir Conditioning U "p"'-.... ~ - . Required Side Yard
OVent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL ti..J..ot n -atv
u
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $
Building Permit #
(
. nee Use Only)
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q. So
.50
1#.--
Building OIlieial
Date
Paid lid ,-/
Date 7 # 3.fj '" '3
RLY~-? '7
B~
--This Application Becomes Your Building Permit When Approved
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 0 b{ - () 1/ 6 ~~
I J-N3q- c.th /61 A-/d C2-r
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
LJ3 - /06 I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
SENT TWO REQ{JESTS-FOlL
11~SYEL'11ONLEllEKS our-
RECF.IVF,D-NQRESPONSE
CLGSE-FILE I>PE-+Q
INACTIVITY
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..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
lJiS/'lOTI
"'
CITY OF PRIOR LAKE
INSPECTION NOTICE
. DATE TIME
SCHEDULED ~L)~~ U9~~
t.:~. ~7f\
ADDRESS ---1gg.3C1
OWNER
CONTR.
PHONE NO,
PERMIT NO,
C7 ,.~/7=f /001
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 EXIGRADIFILLING
o COMPLAINT
/!! FIREPLACE RI
o . FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~~ 'l.dJ \JV\(~, f~ VU~~
t2-1A ~~ ~ ~~~~
GP"- ~ B{5 'f2.-/'BI~-<e..u~,.
o }'ORK SATISFACTORY, PROCEED
.,.. CORRECT ACTION AND PROCEED
b CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
t./
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
fNSNOTI
....
''-,