HomeMy WebLinkAboutMechanical Permit 14. 0688 W Z 1y I
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(") CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT /�,/Cj71) ZtTi
1.PinkFile P RMIT NO. TIL UI (//�'' GLN
NNE2.Green City /T—1
3.Yellow Applicant `
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1.-/ ? /9 rOggs IV' ) 1r ASG— 0.---2-
LEGAL
DESCRIPTION (office use only)
LOT BLOCK ADDITION PID dc 45-6, .(,D'.0
OWN -
(Name)ER / d !ó(J -. (Phone)
(Address)
APPLICANT coy n >
(Name) c Q (T c�N 2 O 4/ <Z, -N < (Phone) &S`/ 6 g y -. 1-,/4/ c/
(Address)3 ) K/1/6S k'Ve)0 c L"g cvire) N
(Contact Person h P C,„,_,( , - / / _ (Phone)LS/ 4,FE 3 YY'/''
APPLICANT SIGNATU' \ - . DATE7 /s--- ('
,y
APP ,ICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ['REPLACEMENT ,W • LTERATIONS
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 0 Steam Units and Fireplaces Cannot Encroach
Gravity 0 Hot Water into Required Side Yard Setbacks.
echanical 0 Radiation Fireplaces with Box Additions or
El Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System 0 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 $ .,51)
STATE SURCHARGE $ 5 00
TOTAL PERMIT FEE $ 5 .s�
This Application Becomes Your Building Permit When Approved Paid 5,4,s-0 Receipt No. '
7i ; !1
Date 7, [J '( � By &Lt.cc)Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
RNO
PRIOR LAKE BUILDEPADINGTMEA NDT INF
SPECTION
INSPECTION RECORD
SITE ADDRESS aftql erii AT/� � ZI
NATURE OF WORK 4440USE OF BUILDING
PERMIT NO. I i/ ISSUED ,�
CONTRACTOR . PHONE G/ Z , JD/, '2*Z
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
11.111111111111111111111111111111,
FRAMING ., QS-)
INSULATION
ELECTRICAL
PLUMBING '-e- ', 2ki
HEATING ..
Ornialair
"11111111111COVER WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
BUILDING 4 7 U(.�(' �N tv z.l (Li
ELECTRICAL
PLUMBING - V i 3[ i i
HEATING C-6Si
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGN D
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections alnd
maintained until all inspections have been approved. On buildings and additions where no
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850