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HomeMy WebLinkAboutMechanical Permit #13-0986 ,� . _. �.,_, +^. . . .. _ � � , " pATE TIME CITY OF PRfOR LAKE �1 INSPECTtON NOTICE CHEDULED �"` 1 � �j' ADDRESS li � .� �� �'L�i.trt.- ri. > .`�,�" -- OWNER CONTR. � PHONE NO. PERMIT NO. � ''� '' � FOOTING 0 PLUMBING Ri ❑ EXlGRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI 0 INSULATION O SEVYER HOOKUP ❑ FIREPLACE FiNAL ❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL 'G�, � F�� COMMENTS: ��' " �� :� : � - . ` � �"�� w � , . � �, � � � , , �C� WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, �ALL FOR REINSPECT{OtJ BEFORE COVERING f ' Inspector: Owner/Contr. CALL 447-9850 FOR THE NEX7 INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR Y4UR PERSONAL HEALTH & SAFETY.� lHSNOTI � rRr CITY OF PRIOR LAKE `� Date Rec'd M � � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT �� � / ,3 U trl 1. Pink File �INNES��� 2. Green c�ty PERMIT NO. /� � O ��� 3. Yellow Applicant ( P lease type or print an d sign at bottom) ADDRESS �,,, c/ ZONING (office use) �-�=� C�j'����� ,� `_� (,� �� �' � LEGAL DESCRIPTION (office use only) LOT / BLOCK 7i ADDITION � l� ���� 3���� PID �jr- �r/j�", DDz - D (N me) R 1( � �� I�C- �'� �'�- � � l�l Phone �-�� � �� — ��.�`�� - — . __�_ � ) ..------------- .� � � ��/ � " ' / .S.S� �2- Address �� ' � � � l. � �t_ � - _ _., ,,� _ .:____ . y.�.�� _._:_ --.�� �- �PaPmL)CANT � CG�i � F�Y"7'� (Phone) `7�,�� ����-- ���v (Address) �� � �� SS' � � � � ) � ) �� ,��T� � ��- /��C Contact Person ✓ G,���� Phone APPLICANT SIGNATURE ��� DATE � APPLICANT PLEASE COMPLETE BELO�V ❑NEW CONSTRUCTION ❑REPLACEMENT ALTERATIONS FURNACE MAKE AND MODEL � FUEL FLUE SIZE �.TURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT pLEASE NOTE: Air Conditioner ❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach � 0 S'iravity ❑ Hot Water into Required Side Yard Setbacks. �Vlechanical ❑Radiation Fireplaces with Box Addihons or ❑Air Conditioning . . : , . . � _ ; _� . _ .. , . . . . , .. , _ .. ... . _,,. _.. �� ' .: .. �. � . b . ❑ Vent. System Other Devices �equire a Building Permit. FIREPLACE MAKE AND MODEL _ _._ FE SCHEI�ULE , Industrial, Commercial & Multi Family 1% f 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 SU"RCHARC3E $ 5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid �' � Receipt No. � a 6 f 7 ` Date 9 � � � By � Building Official Date 24 hour notice for all inspections (952) 447-9850 4646 Dakota Street S.E., Prior Lake, Minnesota 55372