HomeMy WebLinkAboutMechanical Permit 16.1021 CITY OF PRIOR LAKE DATE TIME
SCHEDULED L1
—Ale
INSPECTION NOTICE
•
ADDRESS
CONTR.
OWNER
PERMIT NO.
PHONE NO. O �GRAp/FILLING
0 PLUMBING RI 0 COMPLAINT
❑ FOUNDATIONFOOTING 0 MECH RI (REPLACE RI
❑ A 0 WATER HOOKUP FIREPLACE FINAL
❑ FRAMING 0 SEWER HOOKUP REAIR ST
❑ INSULATIONA0 PLUMBING FINAL iitiG❑
❑ SITE
INSPECTION 0 MECH FINAL
❑ SITE
COMMENTS:
I v
- LcLIIIIPMI
4
A
0 IL-
ORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
owner/Contr.
E.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS I NE t
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH
IMSNOT1
o� Piro
' �� CITY OF PRIOR LAKE Date Rec'd
i HEATING/AIR CONDITIONING/F REPLACE PERMIT
4.;.".;'''---,„,--11> r "‘S..
g0
1.Pink F'le
z. airy PERNIIT NO,& O a/
(Please a O!p3,Yellow Applicant
rint and sign at bottom)
ADDRESS �%( ZONING(office use)
m 1 a ,,,,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PM
OWNER
(Name) P-Ol-41,ii, r (Phone) 61 d-‘7.0.7 •'562
(Address) g '"! 4, ,l A I, / A / I i / L 7
APPLICANT
(Name) .. L! -� I , �I�i# (Phone) & — r l0— 3-1//
(Address) 16 `4 110�I I_ �� "� r 1 ILO t A 5 . D-
(Address) (City (Zip Code)
(Contact Person) r 1 , . �
(Phone) `/')5D"lT 7j�� -90)-7(0
APPLICANT SIGNATURE .44 DATE Cy
_4_i_________________
APPLIC- PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ❑REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL • FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(]Warm Air Plants Steam PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
DO avity
0 Hot Water
:.i echanical into Required Side Yard Setbacks.
MI Air Conditioning ❑Radiation
OVent. System ❑Special Devices Fireplaces with Box Additions or
❑Other Devices Cantilevers to the Outside of Buildings
FIREPLACE MAKE AND MODEL (0 iii 1_ Require a Building Permit.
Industrial,Commercial&Multi-Famil FEE SCHE I", -
y 1%.of job cost Residential,Gas Firepl $49.50
Residential,Heating&NC $49.50 minimum
(New Construction) $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 $ 7'?_j
STATE SURCHARGE $ 1.00
(Office Use Only) TOTAL PERMIT FEE $ SQ
This Application Becomes Your Building Permit When Approved Paid
51) 5-0 Receipt o..7 f /et
Bnildina Official Date Date 16. i ( 6 By ,
24 hour notice for all incnpr+inn.(OC'7\AA-!noen