HomeMy WebLinkAboutMechanical Permit #13-1081 S
�° DATE TIME
CITY OF PRlOR LAKE
INSPECTION NOTICE SCHEDtlLED /(�/�
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ADDRESS � y �� �(� Cp�� � �a
OWNER CONTR.
PHONE NO. PERMIT NO. �,� - 1-O$�
O FOOTING � PLUMBING RI ❑ EXlGRAD/FILLING
❑ FOUNDATION ❑ MECH RI O COMPLAINT
O FRAMtNG � WATER HOOKUP 0 FIREPLACE R(
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
0 FINAL O PLUMBING FINAL � GASLINE AIR TST
O SITE INSPECTION �MECH FlNAI ❑
COMMENTS: �� 4 � ¢ � � ��
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
CAL 7- 850 FOR TNE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
rNSnort
o � rR� OF PRIOR LAKE Date Rec'd
� � HEATING/AIR IT ING/FIREPLACE RMIT � Z 7. /�
U r
P 1. Pink File pERMIT NO.
`�INNESO� 2. Green City /� ' / /� Q/
3. Yellow Applicant l l C/(J
(Please type or print and sign at bottom)
ADDRESS � � � � � , � ZONING (office use)
� G �Y , � �
LEGAL DESCRIPTION (office use only)
LOT �BLOCK� ADDITION �,Q �? ,��� ����� PID _ �''i�_ t�� _
OWNER l
(Name) Q,� �/� (Phone) [- =�-- � -r '
Address � �
APPLICANT
(Name) (Phone)
Address Standard Heating & Air Conditioning
� � 1 �O P��Imn�rth Avent�e North
(Contact Person) Minneapolis, MN 55411-3445 (Phone)
APPLICANT SIGNATURE DATE
APPLICANT PL ASE COMPLETE BELOW
❑NEW CONSTRUCTION �ZEP ACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL ��
FLUE SIZE RETURN O E GS INPUT OUTP T
T� 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.
echanical ❑ Radiation Fireplaces with Box Additions or
ir 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 $ B '1 ing Permit#
HEATING PERMIT FEE $ -S�
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes ur ilding Permit When Approved d Receipt No. �' ��
� Z � ` l� ate By
Building O cial Date �
24 hour notice for all inspections (952) 447-9850
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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