HomeMy WebLinkAboutMechanical Permit 16-1212 TY LADATE
INSPECTIONCIOFPRIOR NOTICEKE TAME
SCHEDULED /1/Z
40,
ADDRESS •
, 14e-L-
OWNER
CONTR.
PHONE NO.
PERMIT NO. /10
❑ FOOTING ❑ PLUMBING RI
❑ FOUNDATION ❑ EX/GRAD/FILLING
❑ FRAMING ❑ MECH RI 0 COMPLAINT
❑ INSULATION ❑ WATER HOOKUP
0 SEWER HOOKUP NAL
❑ FIREPLACE FNAL _FIREPLACE NAL
❑ FINAL 0 PLUMBING FI
❑ SITE INSPECTION ❑ GASLINE AIR TST
❑ MECH FINAL
COMMENTS; ❑
A
'
" '�" a
WORK SATISFACTORY,PROCEED
❑ CORREC CTION AND PROCEED
❑ CORR K,CALL FOR REINSPECTION BEFORE COVERING
Inspect •
Owner/Contra
CALL 447_9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOT!
Q,�4 ?Rio ,t LAKECITY OF PRIOR Date Recd
U
i~ HEATING/AIR CONDITIONING/FIREPLACE PERMIT
+lNNBs" I,Groep 1 ,,etye PERMIT NO. /(9 _ i Z t
2. ci
3.Yellow Applicant
• ease •e or .rint and si l, at bottom } j ZONING(office use)
ADDRESS/` 7 , r oak, 4- vLe— s `'
LEGAL DESCRIPTION(office use only)
PID
LOT BLOCK ADDITION
6//0-
3/Z''
OWNER C` i S UV�61/l L�S OV1 (Phone) /Gj�_
(Name)
(Address) ,v�t-�. a-.-'S S
AAAA-e_ i"'e-
APPLICANT /I TrJ r 6-5.- --3—_ Z��'
f Vr 51 de t7 e4 r�t'i 4 ow- - (Phone)
(Name) _ 55113
'('" w 4u-e- itJ gOSeUilie-
(Address) Z-70 D r
('ddress) (City) (Zip Code)
1 ` e_.1 -t vl (Phone) 6.57-`to3S— 33 0(0
(Contact Person) / j
DATE Z
l �/
APPLICANT SIGNATURE /Wim! Ar. �
APPLICA PLEASE COMPLETE BE 0
ANEW CONSTRUCTION 0 REPLACEMENT IE ALTERATIONS FUEL (`7�-�
/�
FURNACE MAKE AND MODEL OUTPUT
FLUE SIZE
RETURN OPENINGS INPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
❑Warm Air Plants ❑got Water into Required Side Yard Setbacks.
Riviraeranical
❑0 SpecialRadiation Fireplaces with Box Additions or
DAir Conditioning Cantilevers the Outside of Buildings
El Vent.System 0 Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL 1T
FEE SCHEDULE $49.50
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace
$49.50 minimum $49.50
(New Construction) $149.50 Residential,Additions&Alterations $49,50
Residential,Heating&AIC Residential,AC Only
Residential,Heating Only(New Construction) $64.50 �Q
Estimated Cost$ _,S___P_D Building Permit #
HEATING PERMIT FEE $ 1.00
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only) Receipt No. �y/�
This Application Becomes Your Building Permit When Approved Paid57).SZD
Date/0 .l q, 1(v By /.7l�
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372