HomeMy WebLinkAboutMechanical Permit 16-739 DATE TIME
CITY OF PRIOR LAKE SCHEDULED \1
INSPECTION NOTICE
— - Q jt L
ADDRESS
CONTR.
OWNER ' I- ��q
PHONE NO. PERMIT NO.
0 PLUMBING RI ❑ EX,GRADIFILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION 0 FIREPLACE RI
p FRAMING ❑ WATER HOOKUP 0FIREPLACE FINAL
p INSULATION 0 SEWER HOOKUP 0 FIREPLA AIR TSL
❑ FINAL 0 PLUMBING FINAL 0'o't
❑ SITE INSPECTION
0 MECH FINAL
.TI -^' �' L
COMMENTS:
, at
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WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
ari..-&-i----_
Owner/Contra
Inspector.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AD SAFETY!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH
mSNOT1
diPRfp*
CITY OF '.'. I ' AKE Date Rec'd
v AN% HEAT /AIR COND IO !FI ' PLACE PERMIT
4. 4.7 (rh ° /
NE 5°
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Iz.Pwkn FCAy
PERMIT NO. fG 7 3
3.Yellow Applicant
(Please type or print and sign ottom)
ADDR ZONING(office use)
/642-3 -"' ii it ;.��� ot,`"1
ASCRIPTION(office use only)
LOT BLOCK ADDITION / .ID
OWNERS
(Name) ? �/r e 61126, Tony,43glione) ----
(Address) ivit
V�
APPLICANT
(Name) &2L (k04,42 (Phone) i\jr mox
(Address) "�w�..' k N\ ' 1 ' s 11 - ) L ..J s[1�rv► D V ...t
(Address) (Ci y) (Zip Code)
(Contact Person) 0 (Phone) -G -‘333-ab)/
APPLICANT SIGNATURE ............_ DATE ___-'
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION F.REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
QWarm Air PlantsPLEASE NOTE: Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
['Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation
-ei rConditioning ❑Special Devices Fireplaces with Box Additions or
ent.System 0 Other Devices Cantilevers to the Outside of Buildings
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 $49.50
Estimated Cost$ .F-I)O ) . `— Building Permit # N.p 911 4 Ll
HEATING PERMIT FEE $ 2_0 t)
hi si f'e"'"'t
STATE SURCHARGE $ 1.00 /
L
TOTAL PERMIT FEE $ 6C7, 41-) 6. I
(Office Use Only) jt 36 v‘
This Application Becomes Your Building Permit When Approved Paid 50)50
_t 50 l0 eceipt Nor 6_16(
Date /Ca y
Building Official Date �' 1
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Si.,Prior Lake,Minnesota 55372