HomeMy WebLinkAboutMechanical Permit #14-215 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 'Z ��
ADDRESS - 1 5�� �� �jg S S C.� G� �
OWNER CONTR.
PHONE NO. PERMIT NO. '� � � �'� �
0 FOOTING O PLUMBING RI ❑ EXIGRAD/FILLING
� FOUNDATION ❑ MECH RI ❑ OMPLAINT
❑ FRAMING O WATER HOOKUP IREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP EPLACE FINAL
O FINAL O PLUMBING FINAL ��ASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS:
, �. c
j�WORK SATISFACTORY, PROCEEO
❑ 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 dc SAFETY!
u�vori
_ / "' \
�� o � rxr CITY OF PRIOR LAKE Date Rec'd
� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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P �. P� F��e PERMIT NO. � Z l�
'�INNESO'� 2. Green City '
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS Z�i1ING (office use)
� �1 C� s ��r. �I C
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(N ) R i��l/�l �' � �� V�� �
ame 1 ��Q, Phone) �� �� -- ��7�
Address SS ` �� �►cStl�!�, 3�v�
APPLICANT
(Name) cl"' (Phone) �,5�- - ���p
(Address) � /�� �5 s
(Contact Person) t �� � (Phone)
APPLICANT SIGNATURE DATE �
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT ALTERATIONS�
FURNACE MAKE AND MODEL FUEL
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
;� avity ❑ Hot Water into Required Side Yard Setbacks.
echanical ❑ Radiation Fireplaces with Boz Additions or
❑Air Conditioning ❑Special Devices Cantilevers to the UutsiBe o7'Buttdfngs
❑Vent. System Otl�er_Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FE SCHEDULE
Industrial, Commercial & Multi Family 1% of job cost esidential, 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 Re ipt (! a
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Date , ` , � B �i
Building Official Date "l '
24 hour notice for all inspecNons (952) 447-9850
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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