HomeMy WebLinkAboutMechanical Permit 16-1268 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ((1(5-1(6,
ADDRESS ?j()L.I. l k. R;City
OWNER CONTR. 1
PHONE NO. PERMIT NO. C` (2(. 6
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 G SLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL tIC '
COMMENTS:
.-
D105-p. 4-0\L,--- cG,
WORK SATISFACTORY,PROCEED
SV_
❑ CORRECT : - ION AND PROCEED
❑ CORR T IN*-K,CALL FOR REINSPECTION BEFORE COVERING
Inspect.r: ,,ii Owner/Contr:
C• L , -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
iPRlp
CITY OF PRIOR LAKE Date Rec'd
>, HEATING/AIR CONDITIONING/FIREPLACE PERMIT it / l 6
ti
uril
1.Pink File I PERMIT NO. !�, /Z��
'knvNase' 2.Green City f
3.Yellow Applicant
(Please type or print and sign at bottom)3t ZONING(office use)
'' DD SS 014.3 piiti„e ta, e. a )%J . 0 1 1
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT] 4e...it' tg- 71''j�2 f .Lh C (Phone) 9-i - 76.�11
(Dame) 6 11,
(Address) 'Y 4 0 • Box 7
(Contact Person) Gy.'•-te--'t-"
CA....4."---r_g--119
DATE ���� '</< (°'' (Phone)_APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL liktwait A. e_ .JA- HI-7'o' FUEL
FLUE SIZE 141 P RETURN OPENINGS INPUT 0)4060 OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
0 Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
❑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
job Commercial&Multi Family 1%of 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 $ 4. f.rb
STATE SURCHARGE $ .00
TOTAL PERMIT FEE $ t�f
This Application Becomes Your Building Permit When Approved Paid Receipt No. 7z.„70
Date`( ( l6, By
Building Official Date —�
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372