HomeMy WebLinkAboutMECHANICAL PERMIT 16-1205 Furnace AC DATE TIME
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CITY OF ON NOTICE SCHEDULED Is=f���� ��
INSPECT
ADDRESS
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CONTR. an��
OWNER Ce
PHONE NO. PERMIT NO.
0 PLUMBING RI ❑ �GRADIFILLING
p FOOTING 0 MECH RI 0 COMPLAINT
❑ FRANDATION 0 WATER HOOKUP 0 FIREPLACE RI
0 0 CE FINAL
FINAL• FRAMING 0 SEWER HOOKUP 0 FIREPLACE AIR TSL
LA INSULATION 0 PLUMBING FINAL 0
0 SITE INSPECTION MECH FINAL
COMMENTS:
•
WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT 0 K,CALL FOR REINSPECTION BEFORE COVERING
Owner/Cont
ra
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS
N ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
o, v12/0 CITY OF PRIOR LAKE Date Rec'd
A,.,1,,,,le
f--:,' -ft' ikli, ,,..._ HEATING/AIR CONDITIONING/FIREPLACE PERMIT
�, �� i.Pink File PERMIT NO.
NNEso 2.Green City / _ . /20 5
3.Yellow Applicant (�
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
i V 'S- S AhrCi LA
. .
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) A S w J e 7J-POC (Phone) 5,�
(Address) I �j a3 o -e 1-.n
APPLICANT
(Name) cyo prt r ilz7 (Phone) , &'V - 3r.
(Address) 3 0 6 A.% 0 it gi ►
(Contact Person) 0-4 ' 0 !fir e i (Phone) f>] I 0 ' ?* 7
APPLICANT SIGNATURE 1A a • f.4/4,A\, DATE /0 Allifr
APPLICANT PLEASE COMPLETE BELOW
FURNACE MAKE AND MODNEW EL CONSTRUCTION, n XRS 141 iI0�0 ' Slop E FUEL I , n *
FLUE SIZE RETURN OPENINGS INPUT C?d ? OUTPUT ‹,.761,0
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 $
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 7 5�
This Application Becomes Your Building Permit When Approved Paid Receipt No. ,c-7/41..-7
�4, By
Building Official Date Date/p. /e,
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E., Prior Lake, Minnesota 55372