HomeMy WebLinkAboutMechanical Permit 13-1036 DATE TIME
CITY OF PRIOR LAKE JJJ,INSPECTION NOTICE SCHEDULED %L!
ADDRESS 4o'- i 8rOU -
OWNER CONTR.
PHONE NO. PERMIT NO. L 3 - I 0 3
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP-_/ 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: eurjJ
i, 44, c:
�WORK SATISFACTORY,PROCEED
�❑`CORRECT ACTION AND PROCEED
❑ CORR ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspeoto . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
4 pRlo� CITY OF PRIOR LAKE Date Reed
tHEATING/AIR CONDITIONING/FIREPLACE PERMIT
F G
v
4r S(.1 is G een A PERMIT NO. M ..../6 j#4
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
v1Ql\j‘1 a >r t,c,„" 61/ A
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Naim E kitS cn-‘ d Q.a vv.-. \ ' 4. fir' s- (Phone) 1 1/4Z1-1 '1 a k0 3L1
(Address) owl 6,r„, vk i.\ r,, M
APPLICANT n) �� i. (Phone) �S -vl �,V
- a
(Address) \ 6 S?0 .\`Ur.kTVJ%,-%,- 0 r,:: u ,1-14k), S _`a-c-1 4
�� (Address) (City) (Zip Code)
(Contact Person) NI `1 (Phone) .- a\ivt 1 . \. A
APPLICANT SIGNA • I La...1a DATE . ) - a
APPLICANT PL ASE COMPLETE BELOW
❑NEW CONSTRUCTION f ,1PLLACEMENT 0 ALTERATIONS 1
FURNACE MAKE AND MODEL rl I t.r-"k' °l1ls " 0 v Is C+-,1 FUEL
FLUE SIZE al° V C RETURN OPENINGS INPUT Q)t'(3) OUTPUT _
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
[Went.System 0 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 $49.50
Estimated Cost$ S kt?si:1/ Building Permit #
HEATING PERMIT FEE $ 1/411 IS°
STATE SURCHARGE $ S ZO
TOTAL PERMIT FEE $ S.4.S
(Office Use Only)
This Application Becomes Your Building Permit When Approved PaidpJ j-� Receipt No.7043-3
By
BuildingDate q//,f13 Official Date / [7 (�
, :t.e..r....C...,
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372