HomeMy WebLinkAboutMechanical Permit #12-0642 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �j � 'L
ADDRESS c � v �� �"''� -
' ' OWNER CONTR.
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PHONE NO. PERMIT NO. `2, - /! / (o
O FOOTING � PLUMBING RI O EX/GRAD/FILUNG
O FOUNDATION O MECH RI O COMPLAINT
O FRAMING � WATER HOOKUP O FIREPLACE RI
- O INSULATION O SEWER HOOKUP 0 FIREPUICE FINAL
O FINAL O PWMBING FlNAL O OASUNE AIR T3T
O SITE INSPECTION O MECH FlNAL �
COMMENTS: [��,,o(�, Fvrka..t�-2, �— �G
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� WORK SATISFACTORY, PROCEED
CORRECT ION AND PROCEED
O CORRE CALL FOR REINSPECTtON BEFORE COVERiNG
Inspedor. Owner�Contr:
CALL 7- 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS.lRE FOR YOUR PERSONAL HEALTX d� S.lFETY!
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� r RI CITY OF PRIOR LAKE Date Rec'd
� �� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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'1�j' �P' 1. Pink File
I h'NES� Z. � cen � PERMIT NO.
3. Yellow Applicant {' � i
lease e or ' t and si at bottom
DRESS ZONING (at�ce,�>
�,� � � � �c� l�Ke
LEGAL DESCRIPTION (otTice use only)
LOT BLOCK ADDITION PID . ?/� �
OWNER ��.� �,(
(Name) N I i �, � V� � (Phone) ���
(Addres �it.J � /� �' 1 � �{' ' l.l✓ i � � ✓ J� �
APPLICANT Rons Mechanical Inc
(Name) (Phone) 9 5 2- 4 4 5- 8 5 8 5
(Address) 12010 Old Brick Yard Road / Shakopee MN 55379
(Address) (City) (Zip Code)
(Contact Person) L i nda (Phone) 9 5 2— 4 4 5— 8 5 8 5
APPLICANT SIGNATURE � ��� DATE _ � �I�' �
APPLICANT PLE E COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL I•,Q,VYIe Y �� �Q}� IPO FUEL
FLUE SIZE RETURN OPENINGS INPUT �(� OUTPUT � O��
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEESCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Fetima+a(1 COSt � Building Permit #
The Minnesota Statutes § 326B.148
"SURCHARGE" has been extendecl HEATING PERMIT FEE $
until june 30, 2013, STATE SURCHARGE $ .50
The minimum surcharge for a
"fixed fee" permit is $5.00 TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid �� s � R eipt No. j_/ ���
lQ �l
Date1_ -�(��.�
Buildint Ofticial Date �Q (
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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