HomeMy WebLinkAboutMechanical Permit #13-1320 CITY OF PRIOR LAKE DATE TINIE
INSPECTION NOTICE SCHEDULED �u
ADDRESS � �p � � � ���- � V �
OWNER CONTR.
PHONE NO. PERMIT NO. f� ����
❑ FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL LUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION �ECH FINAL ❑
COMMENTS:
- 1 " . . / ��-
� ��3'-)lIIORK SATISFACTORY, PROCEED
' O CORRECT ACTION AND PROCEED
❑ CORRECT,YYQRK, CALL FOR REINSPECTION BEFORE COVERING
/`._
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
� P RIp CITY OF PRIOR LAKE Date Rec'd
� �� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
'" �
�
�j�'NES��� 1. Pink File
2. Green City PERMIT NO �3_�3zb
3. Yellow Applicant
lease e or 'nt and si at bottom
ADDRESS ZONING (ofit'ice use)
a� � Q ��-��v� �� � �-.
LEGAL DESCRIl'TION (office use only)
LOT BLOCK ADDITION PID
� � d � Y Y (Phone) l °�`O � � 1 1 �
(Address) � �Q � k � r'�
� PLIj �_ ` r+ (Phone) ` � �` `� � �
ame � " � a
(Address) 1 'o � � � `� �.` < c� i'� 1 1 �` r� �r � �1 '1� J - L � c�c
(Address) (City) (Zip Code)
(Contact Person) � ''� l (Phone) � �' v \ ",, — 1 01
APPLICANT SIGNATURE DATE — —
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS �
FURNACE MAKE AND MODEL . r� � c.�-�� ��� �A � V� b� "1 O FUEL �
FLUE SIZE � RETURN OPENIN G S IN P U T O U T P U T �,�
TYPE 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.
❑ Mechanical ❑ Radiation
� Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEESCHEDULE
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 .
� � �ost $ Building Permit #
The Minnesota Statutes § 326B.148 q, S�j
" SURCHARGE " has been extended HEATING PERMIT FEE $ r1
until june 30, 2013, STATE SURCHARGE $ 0
The minimum surcharge for a TOTAL PERMIT FEE $ t S/
"fixed fee" permit is $5.00 '
This Application Becomes Your Building Permit When Approved Paid � Receipt No. O
Date By
Buildine Official Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372