HomeMy WebLinkAboutMechanical Permit #13-1139 i
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED l I
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ADDRESS
OWNER CONTR.
PHONE NO. PERMtT NO. I� �` I��
D FOOTING ❑ PLUMBING Ri O FJUGRADlFILtING
t7 FOUNDATION ❑ MECH RI ❑ COMPLAIN7
[J FRAMING ❑ WATER HOOKUP O FIREPLACE RI
❑ iNSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL 0 PLUMBING FINAL ❑ GASLINE AtR 7ST
[7 SfTE INSPECT{ON . � MECH FINAI. �
COMMENTS• ) �, � � �C -
� WORK SATISFACTORY, PROCEED
1 �
p CORRECT ACTION AND PROCEED
❑ CORRE RK, CALL FRR REINSPECTION BEFORE COVERING
Inspedor. OwnerlContr.
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CALL 447-9850 FOR TNE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOJI
� rRt CITY OF PRIOR LAKE ��� Date Rec'd
� � � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT �(j� �l� �3
U tr�
,y, � 1. r'nk F'le pERMIT NO.
NNESO 2. G[een City /� + �
3. Yell�w Applicant �
(Please type or print and sign at bottom)
ADDRESS � �� (, 1 � � , ) ZONING (office use)
3 c� � c�5 � �, ��.� �
LEGAL DESCRIPTION (of�'ice use only) �
LOT �BLOCK � ADDITION 5���1 j/? ���� � `✓ � ��D ��� 3�� . �7— d
OWNER ,,( (�
(Name) l G � C4✓ L� `� �1� (Phone) �" � ��j � � R �- �IP O
Address ���✓YLSL'
APPLICANT
(Name) r+.V. HEqTIN[� d� Alp ING. (Phone)
(Address) 5182 WEST BROADWAY
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(Contact Person) (Phone)
APPLICANT SIGNATURE DATE l ��! �3
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION �EPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE 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 into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation Fireplaces with Box Additions or
�iir Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings
❑ Vent. System ❑ Other De i es Require a Building Permit.
FIREPLACE MAKE AND MODEL l,r i�v1� 1� ���(� �,(� j'j1/� aj
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 $ 5.00
TOTAL PERMIT FEE $
This Application ecomes Y r Building Permit When Approved d� � 5 Receipt Na �/
� 1 �3
Building O ial Date Date D By
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24 hour notice for all inspections (952) 447-9850
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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