HomeMy WebLinkAboutMECHANICAL PERMIT 16-1399 V DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1 Z 2() /6,
ADDRESS 2/1-1 LI L c\ccLS Lu
OWNER CONTR. C Cr
PHONE NO. PERMIT NO. ` ( 3
❑ 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 MECH FINAL 0
COMMENTS: -.-
t„P, A _ 4)., L
L___
XWORK SATISFACTORY,PROCEED
❑ CORREC • ' ION AND PROCEED
❑ CORR- t.-K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. ' Owner/Contr:
i
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
1NSNOTI
kr" LI1C0 1 ,,'. �4' 414./ / O '50
pct PR1��
RIDate Rec'd
AN HEATING/AIR CONDITIONINGCITYOFPOR/FIRELAKEPLACE PERMIT
l/t'NES°
1.Pink File PERMIT NO. ?
2. Green City %CP / //
3. Yellow Applicant 6 ��„11
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
2-11 1-) \NI 1 1 dc Ly) . K N
r
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O(Name) R �) Cf__ I2..1L)c it (Phone) (/k Z J IlI7o 2--22
(Address) L1 7 Li WI OS Lh • KI N. Pri a r IAILL H NJ SS 3-72_
AppLi(NameClA55 Marshali i . "IIT)
i (,� j- (Phone) 115 1- L'��' 2
(Address) I 1625 Pot nT Do iii DYI Nit S • li11{i95 N _Q _
(,Ad llreesss) (City) -7(Zip Code)
(Contact Person) I V BYa lt17 (Phone) �h 1•4 -7-1-1� I l /
APPLICANT SIGNATURE . ..IIA . I LL . .OA Ag DATE tf n/ I C/
APP ICANT PLE E COMPLETE BELOW
[NEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL Di l ICI h O F I C1 u\)C C b rr �!\ FUEL
411
FLUE SIZE RETURN OPENINGS INPUT l Y U J O U OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
,Gravity ❑Hot Water
[7�Mechanical ❑Radiation into Required Side Yard Setbacks.
❑Air Conditioning ❑Special Devices Fireplaces with Box Additions or
OVent.System ❑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 $ q9 .5 O
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 5b . V
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 50 Receipt No. ,75.-7
ID Date/2_ �/l B r
Building Official Date
24 hour notice for all inspections(952)447-9850 •
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372