HomeMy WebLinkAboutMechanical Permit 16-1074 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 76/1211(r.
ADDRESS CSS U CJ [C C
OWNER CONTR.
PHONE NO. PERMIT NO. /(p -- 10.741
❑ 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 ❑
COMMENTS: /(04J-Jc.- vrvw.& _
L(( P h
24/WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INS!OTI
(6'-i.- 1.0,
771\-7\e CITY OF PRIOR LAKE Date Rec'd
�.3t,,l, % ; \ HEATING/AIR'CONDITIONING/FIREPLACE PERMIT
4"). ir
`t'N E 50�
21.Pink n FileCity PERMIT NO. 16 , to 74-'
. Gree
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
6.S79 �-j rhbr Be,:t. \
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O(Name)R I b__ -) J j`.,,\r i(-X--
(Phone) 9S-.?-411/7 2&k 7
�
(Address) 57 T/ f ,ty-- R e .4_,J\
APPLICANT BJ C> /
(Name) PRIOR LAKE HTG/AG (Phone) 9,s-- -1,-/7 7 - !� // D
(Address) 16584 PEBBLE BROOK CT,
PRIOR LAKE, MNre5 372 (City) (Zip Code)
(Contact Person) 7, di I,c :"\'-- (Phone)
APPLICANT SIGNATURE ..e.ei-moi j 1_ / DATE 5-19/,
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT El ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants PLEASE NOTE: Air Conditioner
❑Steam Units and Fireplaces Cannot Encroach
['Gravity ❑Hot Water
— -kfechanical ❑Radiation into Required Side Yard Setbacks.
.•fir Conditioning 0 Special Devices Fireplaces with Box Additions or
[Went.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 $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ 4/913V
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ )NS)
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid -0 s--0 Receipt No.Lc/ ,Li
Building Official Date
Date( /� r / By cz: _.."?...)
c (�
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372