HomeMy WebLinkAboutMechanical Permit #14-129 pATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �S ��
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ADDRESS ��,�,g � � � C��
OWNER CONTR.
PHONE NO. PERMIT NO. �� ., �
❑ FOOTING � PLUMBING RI ❑ EX/GRAD/ ILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING � WATER HOOKUP �FIREPLACE RI
❑ INSULATION O SEWER HOOKUP �FIREPLACE FiNAL
O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAI. ❑
COMMENTS:
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOr�R PERSONAL HEALTH � SAFETY.�
lNSNOTI
„_ _ — `_r \
--_._ _._
o � PRIp� CITY OF PRIOR LAKE Date Rec'd
� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT 3 j 3 ��
U t�i�
� � �. P�� File pERMIT NO.
INNES� 2. Green City `� /Z
3. Yellow Applicant ��
rint and sign at bottom)
ADDRES � � ,���� ��` ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
Address
A CANT
a �'t'Cz�S Qc.,e� �`c�� hone) �SZ � �a7r'� ��P
a ) oG� �U �� �� C� �t
ontact P �W�.. ��t,�`e��' (Phone)
NT SIGNATU G���' ��� <J - f �'J��
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF 5YSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner
❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑ Gravity ❑ Hot Water into Required 5ide Yard Setbacks.
❑ Mechanical ❑ Radiation Fireplaces with Box Additions or
❑ Air 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 $ Building Permit#
HEATING PERMIT FEE $ � �� ��
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid J -r,r� f c - � Rec t No. i! 0 �
�
Date �_ /„3 , l � B •
Building Official Date
24 hour notice for all inspections (952) 447-9850
4646 Dakota Street S.E., Prior Lake, Minnesota 55372