HomeMy WebLinkAboutMechanical Permit #14-214 DATE TIUE
CITY OF PRIOR LAKE �
INSPECTION NOTICE SCHEDULED � �
ADDRESS � 5 I n � ��� � �' �
OWNER CONTR.
PHONE NO. PERMIT NO. `� � �`�
❑ FOOTING 0 PLUMBING RI ❑ EXIGRADIFILLING
❑ FOUNDATION � MECH RI ❑ COMPLAINT
0 FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ��REPIACE FINAL
O FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL �
COMMENTS:
0
� WORK SATISFACTORY, PROCEED
O CORRECT ACTION AND PROCEED
❑ CORR WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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o � pRlo,p CITY OF PRIOR LAKE DateRee'd
� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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�'I�vNESO�?' t. Pi� File pERMIT NO.
2. Green City ' �
Please 3. Yeliow Applicant
( type or print and sign at bottomJ
ADDRESS
�' � I Z , ING (ofi'ice use)
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LEGAL DESCRIPTION (oi�'ice use only)
, LOT BLOCK ADDITION PID
OWNER
(Name) irU1�1 �'_ � . �'"1 � ) _ lJ.� Z
Phone
Address �0 i'CJ� (.�.� �` Le �� � �
� PL jCANT� � � 1
ame I � -! l�� � ) � ��- ''� � ! �
Phone
(Address) ,., 1 �,�_
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(Contact Person) i C�C�Q�� (Phone) ���--�'�--�r�,�
APPLICANT SIGNATURE DATE �j /
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS 1NPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑ Warm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
❑ ravi into Re uired Side Yard Setbacks.
echa ical ❑Radiation q ,
❑Air Conditionm Fireplaces with Boz Addihons or
g ❑ Special Devices Cantilevers to the Outside of Buildings
❑ Vent. System Other D uice
FIREPLACE MAKE AND MODEL Require a Building Permit.
FEE CHEDULE
Industrial, Commercial & Multi Family 1% of job cost �� ~ esid - ential, Ga F eris p al ce $49.50
Residential, Heatin & A/C $49.50 minimum
g (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 Becomes Your Building Permit When Approved Paid , � �
RecitN. �
i
Building Official Date Da B y
,
24 hour notice for all inspections (952) 447-9850
4646 Dakota Street S.E., Prior Lake, Minnesota 55372