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Mechanical Permit #14-114
DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS v l�� �a`�""'"� - OWNER CONTR. PHONE NO. PERMIT NO. I 0 FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION � MECH RI 0 COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION � SEWER HOOKUP ❑ FIREPlJ10E FINAL O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST 0 SITE INSPECTION ,�8(, MECH FINAL � COMMENTS• Qp�o�� �J��A.�� / � ia� � � WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORREC RK, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 NOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI , i � � rRro CITY 4F PRIOR LAKE Date Rec'd ! h � �'� AEATING/AIlt CONDITI4NING/FIREPLACE PERNIIT � : �- � ; � - ; � z: � c �, PERMIT NO. �' ' � 1 � J. Ydb�r AppGcmt Jease e or ' t aad si at 6ottom -- ` ADDBESS � ZONING (o�ce ose) � � L � . � � � I Y`� ��'1 l.f_> � � " �. � � LEGAL DESCRIPTIUN (oE�"ice use ontyj � LOT BLOCK ADDTTION pID OWNER )� � . /� 2 -/ . �� � K,�. �� �; (Phone) `7 L� �' • �� "/� �� /�Y' (Address} ' Y11-Q/ � �, . . . APPLICANT ,, : �;; . ,. . . (Nazne) : ' ;�/. �s�/����ra' $c /���i ���. (phone) 51 �2 V�l� �T B��A��J . (Add�ress) � �R�157'�L, Mf�i ��s`�9 � , . �Aaa�� 763-535-20t�0 cc�c�� cz� coa�) (Contact Person) (Phone) : APPLFCANT SIGNATURE " DATE . s APPLICANT PLEASE COMPLETE BELOW QNEW CONSTRUCTION PLACE T ALTERATION � FURNACE MAKE AND MODEG �I/I D�� FUEL FLUE SIZE RETURN OPENINGS INPUT O UT l? �p . � TXPE OF SYSTEM � HEATING OR POWER PLANT — , �/arm Air Planis ❑ Steam . p��E NOTE: Afr Conditioner �C��itY ❑ Hot Water Units aad Fireplaces Cannot Encroach ❑ Mechanical ❑ Radiation into Reqnired Sfde Yxrd Setbacka. [,Air Conditioning ❑ Special Devices � `: �replaces a�ith Boa Additions or �Vent. System ❑ Other Devices Cantilevers to the Qntside of Buildiogs Require � Baiid3ng Permit FiREPLACE MAKE AND MODEL . �EE SCHEDULE Industrial, Commercial & Multi-Family 1% ob cost Rasidentiai, Gas Fireplac� �49.50 9.SQ inimum Residentiat, Heating 8c A/C (New Construction) .50 ' Residential, Additions & A}terations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ �' �� � Building Permit # � Ttie Minnes�ta St�iutes � 326[3.148 . , HEATING PERMIT PEE $ l� � �j('� ��LRCf-IARGE" ha� been changcd !'or one .��— year effs.�ctive STATE SURCHARGE $ .50 (� .���jy �, zo�o a��ti! J�cnc 30 aoi i. TUTAL PERMIT FEE $ 7'6e miaimum snrckarge for A "P�xed fce" permit (OfBce Uae Ortly) is ,.�'��, b nninR Juiy 1. 2Dltl This Applicafiion Becomes Your Bnilding Permit When Approved Faid�iL 5� R t No. � �J� Z 7 � BaUdine Official Dane Date ? !` `�'� B c� "T 24 hour notice for etl iaspections (9S2) 44�-98S0, faz {9S2) 4A7-4245 A646 Dakota Street S.E., Prior Lake, Minuesota 55372 • ._._..�______—.----._._._�..�_---__..--------__ ______-__�--�_- .................___.__—_.---.._..___...^-�-- ._._._.._..__----•----�._._�.-•-----•------ . . . . � � i�.. . i , ;