HomeMy WebLinkAboutMechanical Permit #13-0447 �� DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTlCE SCHEDULED �� s,�( .. ��
ADDRESS � � a �� � ��,.� �"..�.�� �Tl�' L
OWNER CONTR.
PHONE NO. PERMIT NO. � � -- �f ��'�`
O FOOTING ❑ PLUMBING RI ❑ EXlGRAD/FILLING
❑ FOUNDATION � MECH RI � COMPIAINT
� FRAMING ❑ WATER HOOKUP O FIREPLACE RI
❑ lNSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FlNAL O PLUMBING FINAL O GASLINE AIR TST
� SITE INSPECTION � MECH FINAL �°t` �
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COMMENTS:
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'� WaRK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
� CORRECT WORK, GALL FOR REINSPECTION BEFORE COVERING
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Inspector: � � OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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o � rRt CITY OF PRIOR LAKE �/ Date Rec'd
� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT ,��,p ��
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1. Pink File
�INNESO��' 2. Green City PERMIT NO . /� �� ' I
3. Yellow Applicant � �
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT � BLOCK � ADDITION �iL�� ��r' PID p�� ���. � �
OWNER�.
(Name) 1 b rc� � c.� � a` � (Phone) ��1 _ �! �!l> -,�,2 �' 9
Address � �l�-
APPLIC NT J> /
(Name) l�ri o a� �,�xc �`�'j �- � C� (Phone) �;�,Z r��? �1��
(Address) �fo S�y J��bl� ,�,�1� �7�' �i�j o.-- �,�c /J1�
(Contact Person) c,- (Phone) ��,Z ���-�b
APPLICANT SIGNATURE DATE � 1 �(� �l �
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION �EPLACEMENT ❑ALTERATIONS r —�
FURNACE MAKE AND MODEL ��� � Cr� S�.Q FUEL /v� �
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE�F 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 Fireplaces with Box Additions or
�r Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings
❑ Vent. System ❑ Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
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
Cost $ Building Permit#
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application B comes Your Building Pe it W n Approved P Receipt N ��
. � Date n � By
Buildin ci Date �y
24 hour notice for all inspections (952) 447-9850
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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