HomeMy WebLinkAboutMechanical Permit #13-0339 `�-�' DATE TIME
CITY OF PRIOR LAKE gCHEDULED � —
INSPECTION NOTIGE ------
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ADDRESS � ��,-�`�' `'�/ , `,� i"`""`ti r .
OWNER CON7R.
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PHONE NO. PERMIT NO. ' j' �
❑ FOOTING 0 PLUMBING RI ❑ FJUGRADlFILLING
❑ MECH RI ❑ COMPLAINT
❑ FOUNDATION p FtREPLACE RI
� FRAMtNG ❑ WATER HOOKUP
� INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINA�
p FINAL ❑ PLUMSING FINAL O�GASLINE AIR TST
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❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS:
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR RE►NSPECTlON BEFORE COVERING
Inspector:
` OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTFI 6c SAFE7'�'1
INSNOTI
04 Pxia� CITY 4F PRIOR LAKE � Date Rec'd
�, :.� = � ��. µ�,,� HEATING/AIR C�NAITIONINGIFIREFLACE PERMIT
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�'^'�„� '. P"'k F;'` PERMIT NO
� 2. Cneort City � / � . � �� �
(Please 3. Yeib�r AppSicem
ty e or rint and si n at bottom
1�DDR.ESS . ZONIlVG (o�'ice use}
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r
LEGAL DESCRIPTI�N (ot�ce use only)
LOT BLOCK ADDITION PID
owNEx � y Q
(Name} � ' (Phone) t/__ __�/� '�7a � ! �.�
(Address) I �� � S t C �`� �
APPLICANT ' ��• �� " � N'S ,,
���) ^ � • (Phon �� �
(Address) • � l� ✓C,'`• C • IT� ��C .� ��
�� ( ress) (Cit7'1 (Zip Cade)
{Contact Person) (�SI✓I C (Phone�
APPLICANT SIGNATURE DATE � �
`` AP LICANT PLEA OMPLETE BE�,,UW
; y ,�, [�NEW C�NSTRUCTION REPLACEMENT ❑ ALTERATIUNS
FURNACE MAKE AND MODEL, . FUEL
FLUE SIZE RETURN OPENINGS INPUT �, � QUTPUT
TYPE OF SYS1`EM HEATING OR POWER PLANT �
[�Warm Air Plants �'��E NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
❑���tY ❑ Hot Water iitto Reqitired Side Yard Setbscks.
Mechanicat ❑ Radiafion Fire laces with Bog Addifione Or
ir Gonditioning ❑ Special Devices p
Vent. System ❑ O�her Devices Cantilevers to the Ontslde ot Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODE[,
FEE SCH�DULE
Tndustrial, Commerciai & Multi-Family 1% of job cost Residential, Gas Firepiace $49.50
$49.50 minimum
Residentral, Heating & A/C (New Construction} $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (t�Tew Construction) E64,50 ResidenEial, AC Only $49.54
Estimated Cost $ Building Permit #
T'tie Minnesota St�tules ,��' 326Q.1�i8
HEATING PERMIT FEE $ �, S "SC�RC:t h�s been etiunged I'or one
year ef!'ective
STATE SIIRCHARGE $ .SQ ,ruly 1, 2l��t�, u:�ti� ,Itinc 3t�, 20� i.
TQTAL PERMIT FEE $ �� Thc min7rnem surchnr�e for � "li�ecl Ccr" permit
(Office Use Only) Is �'S, be�inning .July 1.201U
This Applicaifon Becomes Your Hullding Perrnit When Apgroved Paid � o � Receipt No. J p O 6�
!0 4 �7 *
Date � //� By ;
Bnildiwe Oiftcial Date '�'
24 hour notice for ak1 inspections (95z� 447-9850, fax (9S2) 4{7-A24S
4646 Dakota Street S.E., Prtor Lake, Minnesota 5537Z