HomeMy WebLinkAboutMechanical Permit 16-1277 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 41, -
ADDRESS ' 1 _C42
OWNER CO TR.
PHONE NO. PERMIT NO. /(a _ 1 2" "l
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI y❑ INSULATION SEWER
FINAL
NAL 0 PLUMBING FINAL 0 GASLINE AIR TST
I
SITE INSPECTION 0 MECH FINAL 0
COMMENTS: e-sz.---
61 L--'P-b. < .1, ,
A WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. ,� Owner/Contr.
--a6'44°-- ---
CALL 4`419850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
X04 PRI04.
CITY OF PRIOR LAKE Date Recd
(' 1 HEATING/AIR CONDITIONING/FIREPLACE PERMIT
4r�'N E SOS
12.. Pink en FCitil Y PERMIT NO./6 ,/Z7 7
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ` � ZONING(office use)
Z7/2 12%�'f�KS CrOcee //I/OJ ,-, „t
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER '
(Name) c:-_• _ _ /_, _ (Phone) 4,/o+7 r ? 7 l�/
(Address) J7/5 clerr"f/z.f C1Y .— 4,9 f2 6'I- / , .-yza__
APPLICANT / ��
(Name) .� F� � �r,Q��� (Phone) G/.� je, 7� „ 7 T///
(Address) J 7/3 ✓j` -/`AS 6 �<C/D,C G"24--L 575'3 7.2
(Address) (City) (Zip Code)
(Contact Person) �f/�/� j'('9 ✓� (Phone) t /7 3'7 pCe)
/ / W
APPLICANT SIGNATURE . /. 7 DATE
APPLICANT PLEASE COMPLETE BELOW
❑ ONSTRUCTION ®REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL 10' 6. /,.S' 3/ D/9/49,5:1y FUEL /1/./ r
FLUE SIZE 37//,44'5 RETURN OPENINGS(d,,..5,4 ?x,INPUT /V:0 *)o OUTPUT /-s75d?:d
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
OGravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices
['Vent.System 0 Other Devices Cantilevers to the Outside of Buildings
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 $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ � SZ
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ .5 ,
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No. .72 g
Date 2_ / 6,, By ,tale.,,_
Building Official Date
7
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372