HomeMy WebLinkAboutMechanical Permit #14-108 DATE TIIAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3� �,
ADDRESS `� � � � �'" �S � �o '� `� G n
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OWNER CONTR.
PHONE NO. PERMIT NO. 1�'"� ����
0 FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEYVER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
c���._._.
f ORK SATISFACTORY, PROCEED
❑ C RRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector: ,>`�"� � ��-- OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RFQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
o � p RIO CITY OF PRIOR LAKE Date Rec'd
� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT � , � � �L�--
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q. 1. Pink File /� ,� x/�
� 2. Green City PERMIT NO . U �
3. Yellow Applicant
lease e or ' t and si at bottom
ADDRESS � `\ � ZONING (ofleice use)
� � � � �.. p �� '1� � h' �Z� �\ � L�
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION P�
OWNER � r--- � l. 1 -� 2 L.�� (Phone) S ��
(Name) .
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(Address) � �'� � �U�� � � `� �
APPLICANT � -�-� 1 `1 '� _Q �
(Name)— ��.�',-� �7 ^ ! �hL.. (Phone) � � �( "1 v � �
(Address) � � � �o `�`� C\ `� r��,� � �, � G` � U j ��\� {�1N � � J � �
(Address) (City) (Zip Code)
(Contact Person) `"� 1... � -R (Phone) c �-� '�' V ��� � d � °2
APPLICANT SIGNATURE DATE - -
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIO S
FURNACE MAKE AND MODEL �t � � �' � � � �� °��� �'� FUEL � � � � ��
FLUE SIZE 'Z�� RETURN OPENINGS 1NPUT � ��A OUTPUT S 1� � O
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 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 Conshuction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
1 ��
STATESURCHARGE $ � ��
TOTAL PERMIT FEE $
(Oftice Use Only)
This Application Becomes Your Building Permit When Approved Paid �� � Rec ' No. � 6 7��"
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Date � , ZY. (� By
Buildin¢ Official Date
24 hour notice for all inspections (952) 447-9850, faz (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372