HomeMy WebLinkAboutMechanical Permit #13-0415 � DATE T�ME
CITY OF PR10R LAKE
INSPECTfON NOTiCE SCHEDULED �-� �!^_l�
ADDRESS � � C.,: �Z '� � . ..� �x..�,�1 � " �, N
OWNER CONTR.
PHONE NO. PERMIT NO. � � �_ � / ��
O FOOTING O PLUMBING RI ❑ E7UGRAD/FILIING
❑ FOUNDATION � MECH RI ❑ COMPIAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ 1NSULATION ❑ SEWER HOOKUP ❑ FIREPlJ10E FINAL
❑ FINAL � PLUMBING FINAL �G LINE AIR TS�T
D SITE INSPECTION ❑ MECH FINA�
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COMMENTS:
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y - ; . , d �
d WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ? ' Owner/Contr.
CALL 447•9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RBQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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o � p Rro� CITY OF PRIOR LAKE 1�ate Rec'd �
�, > . - HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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i 2. G�ern Ciry /�— /J/
1. Ydlow Applicant T 7
I, ease e or ' t and si n at bottom
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LEGAL DESCRIPTION (o�ce use only)
LOT BLOCK A.DDITION PID
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(Name) (Phone)"I...X�( � � �
(Address} — l� � �-Vu ► ` � � Y�-'�
(Name) � �� �U � r � (Phone) ��' `7 � � ( `7 `l ��
(Address) �--i w � tid ,C � -
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(Address) tClty?q � / `�/ `_�Zi�`7 ��
(Contact Person) hone) ��
APPLICANT SIGNATURE DATE ^� '� �
LICANT PLEASE COMPLETE BELOW ,
[]NEW CONSTRUCT[ON PLACEMENT ❑ ALTERATIONS •
FURNACE MAKB AND MODEL rl J Ou��V v7 D FUEL �O�T �9 �,
FT,UE SIZE T ��_ RETURN OPENINGS INPVT �DCoO�Q OUTPUT ���17
TYl'E OF SYSTEM HEATTNG OR POWER PLANT �
PLF.ASE NOTE: Air Conditioner
�Waiin Air Plants ❑ Steam Units and Fireplacea Cannot Encroach
�Gravity ❑ Hot Water iato Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation Fireplaces with Boa Additions or
'6]Air Conditioning ❑ Special Devices
�Vent. System ❑ Other Devices Cantilevers to the Outs'1dC Of Buildings
Require a Building Permit.
FIREPL,ACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Firenlace $49.50
$49.SQ minimUm
Residential, Eieating & A/C (New ConsUuction) �149.50 Residential, Additions & Alterations $44.50
Residential, Heating Onty (New Construction) a64.50 Residential, AC Only $49.50
Estimated Cost $ ��� - � Building Permit #
The Minnesota Statutes � 326[3.148
HEATING PERMIT FBE $ 9�� "SURCI has been chun�ed I'or one
year effective
STATE SURCHARGE $ .� ,luly 1, 2�tto untii Juqc 30 2U� �.
TOTAL PERMIT FEE $�� 'fhc ntinimam surchnrgc for a "fise�l fcc" permit
(Oftice Use Oaly) is S�, be�inning.Fuly 1.201U
This AppGcation Becomes Your Bvilding Permit When Apgroved Paid � �� Receipt No. �U�
�`' 4
Date ��� / By �
Bnildine Official Date 7�
24 hour notice for all inspections (952) 441-4850, fax {952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372