HomeMy WebLinkAboutMechanical Permit 16-1446 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 116117
ADDRESS ,5CfD S- - 0 - -
OWNER CONTR. /
PHONE NO. PERMIT NO. l Li J c(LI y
❑ 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
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COMMENTS: A a_
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❑ WORK SATISFACTORY,PROCEED
CORRECT C ION AND PROCEED
❑ CORRE• .-K,CALL FOR REINSPECTION BEFORE COVERING
Inspector Asp Owner/Contr:
CAL 44�9FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.
INSNOTI
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CITY OF PRIOR LAKE Date Rec'd
� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
�jNN E So�Q'
I. Pink File PERMIT NO.
2. Green City /4,
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
i30 -alL.eueS+ p4k
Nui
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OW(Name)
NiCbk /\ t.- �� (Phone) 4152- 233-51°3
(Address) 230 6 J'uh-12,
APPLICANT,,,—
(Name) V-d Qk dko M I n Aga A, con(' t l a(11c) (Phone) U(2'SOCt ' (p 10 ()
(Address) 1/4 A-. � �`j.� (� C , AA t S
(Add ss) (Ciy) (Zip Code)
(Contact Person) i -, ( (Phone) (/ (2—3 b(Q!CQ
APPLICANT SIGNATURE DATE 17 LP I("B
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL njf k JT 9 2(e FUEL 4-5
FLUE SIZE RETURN O ENINGS INPUT Qr a 0 $f u JTPUT 12 ( ,V7 S
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
4E1 Mechanical 0 Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices
[Went.System El 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 $ L(q•S
STATE SURCHARGE $ ! O
TOTAL PERMIT FEE $ SD .56
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 6-0 Receipt o. -11l Z
Date ,'l,Z BY
Buildine Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372