HomeMy WebLinkAboutMECHANICAL PERMIT 16-1243 DATE TIME
CITY PRIOR LAKE
INSPECTION NOTICE 2C�SCHEDULED �
INS
ADDRESS OA. •04" ' 7
OWNER
CONTR. I Z 3
PHONE NO. PERMIT NO. /(
0 PLUMBING RI 0 EX!GRAD!FILLING
p FOUNINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FRA0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
O FINAL
0 PLUMBING FINAL 0 GASLINE AIR TST❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: 10I --r
i
. 65w
4 or
XWORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contra
CALL - 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
o PR/0 CITY OF PRIOR LAKE Date Rec'd
it e HEATING/AIR CONDITIONING/FIREPLACE PERMIT
U a
tri
MI �P
I.Pink File PERMIT NO.
NNEso 2.Green City �(p �,�
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
+21-1- Ex fun,- Grt N E
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER lom g,, omrn Phone 2 r
(Name) ( ) �2' �'/ ' r/ 6/
(Address) 4424. SUN f I iwif ( 't N E.
APPLICANT ,Qf,,,, n n Q I� 1n /� �r y
(Name) iZ0y9 I V Inc c1 w I L1 C I (Phone) ��2 " qqq. 3 3
(Address) 2D2(0 CelhuVn PriV
(Contact Person) L.{n ola1 Q (iGV / (Phone) g�2- ON g�j ��
APPLICANT SIGNATURE V DATE /0//7 /
/I
APPLICAN'1 LEASE COMPLETE BELOW
['NEW CONSTRUCTION NIR LAC E i.,,./7 IIALTERATIONS
FURNACE MAKE AND MODEL ( ` I t 'r/ � 7 4r FUEL /l/&
FLUE SIZE RETURN OPENINGS INPUT /15,00v OUTPUT 1W1 a'Q
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
❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices 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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ '•50 •
STATE SURCHARGE $ .00
TOTAL PERMIT FEE $ -TOW
This Application Becomes Your Building Permit When Approved Paid 5--b,�93 R eipt No:-7 LLGt
Building Official Date Date I I) . .r \ B
24 hour notice for all inspections (952)447-9850 C
4646 Dakota Street S.E., Prior Lake, Minnesota 55372