HomeMy WebLinkAboutMechanical Permit 10. 0793 I3[ 1s11"ST
Job Address
Southside Heating and Air Conditioning
Name of Tester MW-k
E
Date
Percent 0 1,3
Percent CO 0 9
Percent CO .� 1
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606 �✓
Input
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 6' l / S
OWNER CONTR.
PHONE NO. PERMIT NO. r.: °3
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
`t, FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
✓❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
I- -'WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT • R , CALL FOR REINSPECTION BEFORE COVERING
•
Inspector: OwaerLContr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOT)
4 r9 CITY OF PRIOR LAKE Date Recd
A. ° IIEATINGIAIR CONDITIONING/FIREPLACE PERMIT
U A. s ter
4iJNNESOo 1. Pink Fite
City / PERMIT NO. ,/ 793
///���
3 . Gtten
3. Yellow Applicant /
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
L2 g/- 1 cb ',2t 5. E
LEGAL DESCRIPTION (office use only)
` LOT BLOCK ADDITION PID
OWNER
Mike �- . CT f (Name) I ike i His i s (Phone) ?�.Z - � 4' - 3 / 0
(Address) (1 / 31- 15 S. E_
APPLICA a / �/ L
(Name) D !.t � l�l, 5 tie, , a i i ,v 4I 1 e _ eL 1 (Phone) q.�a ' gig V- a9` 4 '
(Address) /o g an _ .J ar i.ci � 9
e. 6 itik 6 it b min,a, , /Y1 n STY 3 - 7
(Address) j (City) �/ (Zip Code)
(Contact Person) /S, b h e., r 1 / 1 . y S J ���i c P (Phone) 7s—J.- y 4 y.� 3
APPLICANT SIGNATURE /3 / . DATE 9 - .. / 0
APPLICANT PLE;,. i *!1t ; ,BELOW
❑NEW CONSTRUCTION 00 REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL e ', l ' > 1 D FUEL Al
FLUE SIZE J- t/ RETURN OPENINGS INPUT 70 Al OUTPUT .5 e
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
['Warm Air Plants D Steam Units and Fireplaces Cannot Encroach
['Gravity ' - D Hot Water into Required Side Yard Setbacks.
ligi Mechanical ❑ Radiation Fireplaces with Box Additions or
Ri Air Conditioning 0 Special Devices
Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi Family 1% of jab 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
Ct 5� / 1
Estimated Cost $ 7 Building Permit # 7 �v
HEATING PERMIT FEE $ Y 9 „ ;V
STATE SURCHARGE $ ...5 a 6i1
TOTAL PERMIT FEE $ .5 y ..`[D
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid j ,., ,S-1)
Re ipt No. /7&
Date /I
liu tldine Official Date ' •
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372