HomeMy WebLinkAboutMECHANICAL PERMIT 16-1406 CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 12
DATE 1 215( c„ TIME
ADDRESS O '� S‘„,,,ztta
OWNER CONTR.
PHONE NO. PERMIT NO. / C, 11-4 4
❑ 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 JGASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: E:P. i,nsQ-�
jai
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:/if Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
,off PR1?
CITY OF PRIOR LAKE Date Recd
N HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Cl�'NE$��
0 2. Green City PERMIT NO.
3. Yellow Applicant /� /4-6
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)
OWNER ipt �4%
,VAVersCN1 (Phone) 31 el- Ljbtf- S IS-1
(Address) NO ir\1 ,,5n,UCt-- l 2 N .
APPLIC
(Name) AN'EvAp‘d
Y� �' k 3- 117 ... (Phone) yS 41) (al�j
(Address) 1'0\0 �.. J4-kl Q�• ,s-,,,c alt..r. 5 3'3.S7-
(Address) (City) c(ZipZiCode)
(Contact Person) R. (Phone) 9.S� �t'' ` v 7 Le
APPLICANT SIGNATURE,..1
DATE (Zr5— LD
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT 11 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE 33 RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
['Gravity ❑Hot Water
El Mechanical into Required Side Yard Setbacks.
❑Radiation
DAir Conditioning ❑Special Devices Fireplaces with Box Additions or
❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL-\y 4-GA III / ' 1- .31
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 $49.50
Estimated Cost$OF-to-00 Building Permit #
HEATING PERMIT FEE $ Ll el%S'O
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 5 ,O .5-r)
(Office Use Only)
This Application Becomes Your Building Permit When Approvedill
Paid n, G� Recei t No.V( I
By
Date�(9 U� . C1,I/j �
Building Official Date jO� �j
Y
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372