HomeMy WebLinkAboutMECHANICAL PERMIT 16-1429 DATE
TIME
SCHEDULED
CITY OF PRIORO►T CE ......v.p _ � ,
INSPECTION N30-1 3 , ,ADDRESS CONTR. 1, fn
OWNER PERMIT NO. `-gyp(
❑ EXIGRApIFILLING
PHONE NO. ❑ PLUMBING RI ❑ YJGRADICE RI
TING ❑ MECH RI 0 FIREPLACE FINAL
❑ FOO ❑ WATER HOOKUP 0 FIREPLACE❑ FOUNDATION ❑ SEWER HOOKUP ❑ GASLINE AIR TSL
❑ FRAMING PLUMBING FINAL ❑
❑ INSULATION ❑ PLUM
O FINAL �g MECH FINAL /1 C
❑ SITE INSPECTION J` I�
COMMENTS '!
i
_ 9,-101.1111M11160
eI
A A aC
WORK
SATISFACTORY,PROCEED
I PROCEED
❑ CORRECTCOVERING
E
CALL FOR REINSPECTION BEFOR
ownerlContr. ADVANCE.
Inspector:
CORRECT ACTION AND INSPECTION 24 HOURS IN
THE NEXT LN HEALTH&SAFETY!
CALL 447-9850 FOR YOUR PERSONAL
CODE REQUIREMENTS ARE FOR
INSNOTI
C
ti o4 PRI CITY OF PRIOR LAKE Date Rec'd
N .s.,- HEATING/AIR CONDITIONING/FIREPLACE PERMIT
r Iq�
�1rNES0
21. GreenPink CFiity PERMIT NO./ (4-2,q
4-1/
2. Ci
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
31.13 CShad Cove p+- N!‘A/
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O ame)J 1 �f nni TT,r Lu.1 GK (Phone)( l2 oL,� (351q°1
(Name) 'JV� 7 L
(Address)(m c h a 01, Gnv Pi- NI v1/ P i Dr L-a-r, . /V\$1 55, --72_-
APPLICANT 2�
(Name) Ai r me r h i Ca- (Phone) 1413. -1141
(Address)1 Uy-1 I A b l/I" ot- l/r t a. 1NI 0 11-0t-rn l K 0 M 653 0 1-1-
(Address (City) (Zip Code)
../I/V'1 °L a (Phone) �3 .-11-1 I/-37�g
(Contact Person) ( )• l
APPLICANT SIGNATURE _ DATE 2 g P
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION (�,p-� REPLACEMENT
, / ]ALTERATIONS �}
FURNACE MAKE AND MODEL ?J Olin f "I O 1 MA Lp L2 I DOv 2--u }FUEL NW--"(CLQ'
FLUE SIZE RET OPENINGS INPUT I [��, U�1/ OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
['Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
■Gravity 0 Hot Water into Required Side Yard Setbacks.
i echanical ❑Radiation Fireplaces with Box Additions or
•Air Conditioning El Special Devices Cantilevers to the Outside of Buildings
❑Vent.System 0 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 $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ q 60
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 5U • 6"P
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid J�i 7�, Receipt No. 76,/ 6
Date 1 (0, i By
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372