HomeMy WebLinkAboutMechanical Permit 15. 0660 5
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4 CITY OF PRIOR LAKE
4,0 <!;. ,.i% HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Recd
4ijA'NESO�P I.Pink File
2.Green City PERMIT NO.
(Please type or print and sign at bottom) 3.Yellow Applicant
ADDRESS A. r
"5- - P*, ' / ' , #4: , (..---
r ZONING(office use)
1
6..,,,__
LEGAL DESCRIPTION(office use only) IF
LOT BLOCK ADDITION
PID
OWNER
(Name) „Qat /,,
(Phone) "� lL�
I �
i / --
Address
APPLICANT
(Name) �� �
_ — Phone -22_5_ _______ — )19
(Address) .
..... l . im .;1
(Contact Person) 0y"VL
(Phone)
AI)
APPLICANT SIGNATURE -. DATE LO LO tg
0
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION _4 REPLACEMENT
FURNACE MAKE AND MODEL ❑ALTERATIONS
FLUE SIZE RETURN OPENINGS -- FUEL
TYPEOF SYSTEM INPPUU T OUTPUT
HEATING OR POWER PLANT diti
PLEASE NOTE:AirConditioner
OWarm Air Plants QSteam
❑Gravity 1��Hot Water Units and Fireplaces Cannot Encroach
❑Mechanical into Required Side Yard Setbacks.
it Conditioni ORadiation
tt ❑Special Devices Fireplaces with Box Additions or
4
Vent. System�� ♦ ❑Other Devices Cantilevers to the Outside of Buildings
FI IPLACE MAKE AND MODEL 6 Require a Building Permit.
r-- tit/..'. /'
FEE SCHEDULE
industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50
Residential, Heating&A/C(New Construction)
$49.50 minimum
Residential,Heating Only(New Construction) $64.50 Residential,A0 Only &Alterations $49.50
Residential,ACC Only
Cost$ $49.50
Building Perinitt!
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
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his Application Becomes Your Building Permit When Approved Paid
• a Receipt No./
I3uiiding 011icial
Date IMMII BY
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E., Prior Lake,Minnesota 55372
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DEPARTMENT OF
PRIOR LAK BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 525 -�
/i / aJ •
.:X72 7
NATURE OF WORK ' ,11f/L-•T�
USE OF BUILDING l'- D IS UED
PERMIT NO. �. rr SQ
CONTRACTOR £I I L _`/o % `1 . /. PHONE Z•
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTINGum -'` 5 /y(/ �
immumn
MIIMINNIMMIONIMMIllir
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
simaillill
FRAMING `'' b (1,5-7fC
INSULATION
ELECTRICAL
PLUMBING
HEATING
Wileari
14110111111111.111.11
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP Ma 1 I I
FINALS
GRADING ( PRIOR TO SODDING)
BUILDING -1'4' I (Ai
ELECTRICAL
PLUMBING
HEATING J.. .' -1_,
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections and
maintained until all inspections have been approved. On buildings and additions where no
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850