HomeMy WebLinkAboutMechanical Permit 16-1441 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED //5-A 7
ADDRESS / 3a. - i�-4- -
OWNER CONTR. �
PHONE NO. PERMIT NO. 74- --- G C( C//
❑ 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: k\jt.-N1iA-
0 /
-(-- --; \--6--'
C(oma
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ COR' 'IIORK,CALL FOR REINSPECTION BEFORE COVERING
Inspect. A Ar Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
PRI
°* CITY I ' ' OR LAKE Date Rec'd
ti UAN h7 HEATING/AIR ' 0 NDITIONI ' /FIREPLACE PERMIT
47,
`'NES° S-0 • 2I.Pink een Fae City PERMIT NO. /6r 4.-+/ �j
. G
3. Yelbw Applicant
(Please type or print and sign at bottom)
ADDRE 5 3-2-2, tii 1 10@(n /- lex S ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER `c I 'e • • S 44itt S - (- C 0(4(
(Name)
(Address) f S3 D--.)--vgski ( i/4" /�
Vic) ,51E—
APPLICANT Standard Heating&Air Conditioning
(Name) 130 Plymouth Avenue North (Phone)
Minneapolis, MN 55411-3445
(Address) 612aes i6 (City) (Zip Code)
(Contact Person) • t / (Phone)
APPLICANT SIGNAT ' ' t ,AAA. - DATE / 1.- t 3 ,,
APPLICT PLEA E COMPLETE BELOW
ANEW CONST UCTION , I ' 'LACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL G(G (� Q <_ FUEL kil k--5
FLUE SIZE RETURN OPE'INGS INPUT 34, 0497 OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑,Gravity ❑Hot Water into Required Side Yard Setbacks.
Mechanical ❑ Radiation Fireplaces with Box Additions or
tr Conditioning [II Special Devices Cantilevers to the Outside of Buildings
❑ ent.System ❑Other Devices
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%ofjob 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) $64.500 Residential,AC Only $49.50
Estimated Cost$ `'b Building Permit #
HEATING PERMIT FEE $ ({- S 0
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 56 / so
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid - t:j ceipt No. -NCl/
Date
Building Official Date ,-2 \ t,( \.
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372