HomeMy WebLinkAboutMechanical Permit #12-1339 .-�'�
DATE TlME
CITY OF PRIOR LAKE
INSPECTION NOTlCE SCHEDULED � j 3
ADDRESS � � � �� ��`c� �, �
OWNER CONTR.
PHONE NO. PERMIT NC?. 1�. �- /���
O FOOTING ❑ PLUMBING RI ❑ EXlGRAD/FI�tING
0 FOUNDATION ❑ MECH RI O COMPIAINT
O FRAMtNG ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ tNSULATION ❑ SEWER HQOKUP ❑ FIREPUICE FINAL
❑ FINAL ❑ PLUMBING FINAL � GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAI � � �-'�!'� � � '�—
COMMENTS:
' �'�'d� � `t �` � 8 � � C�1%�� �".�'�,, �
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V� L� o<7 L:.� 1 i 1� �! L Lr
I�u � to I� ;�c?tivity
� WORK SATISFACTORY, PROCeev
Q CORREC7 ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector: �� ' OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQOIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
r,vsnort
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� rRi CITY QF PRIOR LAKE Date Rec'd
a, �'��� HEATING/AIl2 CONDITIONING/FIREPLACE PERMIT
��� �.� j 1�. t 2_
�l�'NES��P 2. Grern �;�,, PERMIT NO./Z .�33
.l. Yellow Applicant
Please e or rint and s� n at bottam
ADDIZESS ZONWG (ot�sce use)
� ��I b� �ra►�k.��� � �rl S-t-
LEG.AL DESCRIPTION (otTice use onty)
LOT BLOCK ADDITION pID
owrrEx �Ss ic,a Yl�ac.�
(Name) (Phone) � ( �Z � Z S � — � (� � �
(Address) ��`1� ���t.✓�'L1�v1 �Yl S � ✓lv`� �� S 3�2
APPLICANT � .
(N�e) � {Phone) �S Z - � 3 S -�l�l �1
(Address) �S 0.. Yl��l. �� S S S�� �(
Address) (City) (Zip Code)
{Contact Person) W /�0�2 5�-0�4 W `,�Ie (Phone) Q $2 — �i�S —7
APPLICANT SIGNATURE DATE l� ZS l Z
�
APPLIC PLEASE COMPLETE BELOW
❑NEW CONSTRUCT[ON REPLACEMENT ❑ ALTERATIONS •
FURNACE MAKE AND MODEL A,�I ) b aL�( �1 � FUEL C.''l �
PLUESIZE RETU OPENINGS �pjJ(� `7G uoc> OUTPUT SC, Oco
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Wa�m Air Plants ❑ Steam p�EASE NOTE: Air Conditioner �
Units and Fire laces Cannot Encroach
❑Gravity ❑ Hot Water into Re uired Side Yard Setbacks.
� Mechanical ❑ Radiation q
�Air Conditioning ❑ Special Devices �eplaces with Boa Addifions or
�Vent. System ❑ Other Devices Cantilevers to #he Oatside of Buildings
Require a Bailding Permit.
FIREPLACE MAKE AND MODEI,
FEE SCHEUULE
Industcial, Commercial & Muld-Family I% of job cost Rasidential, Gas Fireplace $49.50 �
$49.SQ minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Addirions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residenfial, AC Only $49.50
Estimated Cost $� 9• S U Building Permit #
The Minnesata Statiites ,��' 32GQ.148
L) �. S � "SI.RC(-IARGE:" hus been chtinged I'or ane
HEATING PERMtT FEE $ year effective
STATE SURCHARGE $ S.90 Jul� �, at��� ur�fi! Junc 3i) wi i.
TOTAL PERMIT FEE $ r-1 . S v ��'hc n�inimum surchnr�c for a "Eised fec" nermit
(OfBce Use Only) is t,,,,, Ue};inning July 1.20IU
This Application Becomes Your Building Permit When Approved Paid �� S� Re ' t No. ��� 7
Buudine orticial Date �� � , � �
Date
24 hour notice for all inspect�ons (95Z) 447-9850, fax (952} 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 •