HomeMy WebLinkAboutMechanical Permit #08-0918 DATE TIME
CITY OF PRIOR LAKE p
INSPECTION NOTICE SCHEDULED 3 I 0 I�
ADDRESS "'�10 � � G � � b f � � U �-'�-_. �� --
OWNER CONTR.
PHONE NO. PERMIT NO. U FS� '"' O� I�
� FOOTING 0 PLUMBING RI ❑ FJUGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ��CMECH FINAL ❑
COMMENTS:
� � � L-'� �' � �' V .Q � �.J ::i�\ .
�-c.\� �-G� �� T'c' ✓l - E - (�i �- [',.7 f"/'c�,t I° -�
(,ti/ . ll C.. 4i l� Lc� � Y�-�• !' s= -� ,;, .
❑ WORK SATISFACTORY, PROCEED
O CORRECT ACTION AND PROCEED
❑ CORRECT WORK, 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.�
lNSNOT7
� qa� ���
O c� PRIp�
CITY OF PRIOR LAKE Date �tec'd
� D? HEATING/AIR CONDITIONING/FIREPLACE PERMIT �U, �; p�
�
r NNES��
1. Pink File pERMIT NO . /� /�
2. Green City / J / �
3. Yellow Applicant V � �./
lease e or rint and si at bottom)
ADDRESS ZONING (otr�ce use)
4�Q0 ���.a�,��� 57', s�'.
LEGAL DESCRIPTION (of�'ice use only)
LOT BLOCK ADDITION PID
OWNER )
(Name) ��/TEG �'A 7°,��.���1, (Phone
(Address)
APPLICANT,
(Name) t..-��''��"'�+C (Phone) `l52 � � 4�! — t o4�j-
(Address) �740Z '��t+(NCaTaI�/ �v�, �p£►J p�p��R11�. SS 34'f
(Address) (City) (Zip Code)
(Contact Person) �I��N?" Gt1N't`� �.i�,4S (Phone) qJ �' 4 4 1— 10��
APPLICANT SIGNATURE ���'" �%✓u---�-- DATE l 2� D8
APPLICANT PLEASE COMPLETE BELOW
�NEW CONSTRUCTION ❑ REPLACEMENT � ALTERATIONS
�Q?4e�bYprI�"��DEL R� L o c,i}7��, t� ���+� S�. �'L ,� To M,r�rc h Mi�TL�L F�-�a Q P�1 /�N
FLUE SIZE RETURN OPENINGS � INPUT OUTPUT
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 Fireplaces with Box Additions or
❑Air Conditioning ❑ Special Devices
❑ Vent. System ❑ Other Devices Caatilevers to the Outside of Buildings
Require a Building Permit.
FIR MAK 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
Estimated Cost $ �, 5 2 � Building Permit #
HEATING PERMIT FEE $ Q�� SO
STATE SURCHARGE $ .50
� TOTAL PERMIT FEE $ SO. t2p
(Office Use Onl
This A �c i omes Your Bui din Permit he A roved Paid. Recei t No.
pP . g PP .�u . f1 U p �� 98 �
� � d� D �� Date By
uil S Ofticia� Date ` •�• U �
hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372