HomeMy WebLinkAboutMech Permit 03-1216
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/03
Date Rec'd
?~icanl PERMIT NO. () ~ -/ 8-1 ~
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OWNER
(Name)
Cor1~A2
14~ (
,
(Address)
'7 ~ er'- -'Phone)
rS esYu~<7,...(
ZONING (ofliceuse)
PID02 5 - II f -1Jt6-D
APPLICANT
(Name) STAN9ARD : IEATING & AIR CON9mQN\~G r.o. (Phone)
410 WEST LAKE STREET
(Address) MINNE~~ . MN 55408 29ge .
k /lIlt':.. 612-824-2656 (City) (Zip Code)
(Contact Person) J 'I'T~~ ~ . (Phone) I I
APPLICANT SIGNATURE J . '(/..J^~ DATE Gt qlo~
j
(' APPLICAItf~LEAS~ COMPLETE BELOW
, DNEW CONSTRUCTION -- OlRE~LACEMENT 0 AL TERA TIONS~ I I
FURNACE MAKE AND MODEL A fV\ ~r ~"9~ FUEL^ 7;1("'" ~ ~ 4-C)
FLUE SIZE RE~~NINGS INPUT"(J.f~ OUTPUT
~E OF SYSTEM
VWarm Air Plants
J[J'8ravity
~echanical
Air Conditioning
ent. System
HEATINGORPO~RPLANT
o Steam
o Hot Water
FIREPLACE MAKE AND MODEL
REQUEST FOR FINAL
INSPECTION SENT TO
'HOMEOWNER 01-05
Industrial, Commercial & Multi-Family 1 % of job cost
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q. SO
- .50
LffJ .t>O
~mce Use Only)
( 'his Application Becomes Your Building Permit When Approved
Paid tllJ.~
Dat~_II_~2;
t'-
't-,) Building Omcial
pate
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Recei/!i3,c;~
B~
(j
DA. TE TIME
CliY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ L/'3 02-1
SCHEDULED ;< - I - 0 h
lvale/r5edCjt2- trL
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03 - )d )/,0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rf
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
SENTT~URSTSFO~
IN~~~C'lluN LEI'IER~ Urrr-
-RECF,TVED ND RFS.PflNSFJ
CL
T9
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 HEALTH ~ SAFETY!
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