HomeMy WebLinkAboutMechanical Permit #11-466 �-....
DAT TIME
CITY OF PRIOR LAKE
INSPECTION NOTlCE SCHEDULED I D �d27
ADDRESS I'j I�� L �-E�+�� ( R–
OWNER CONTR.
PHONE NO. PERMIT NO. � ( ��
O F0071NG D PLUMBING RI ❑ EX/GRAD/FILI.ING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMtNG ❑ WATER HOOKUP O FIREPLACE RI
O INSULA710N ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL � PLUMBING FlNAL O GASLINE AIR TST
❑ SITE INSPECTION �IECH FINAI. ❑
6 -
_COMMENTS: �u (Z�'1,�c�,'`�
C��n- � �`
s� � �-.
jQ WORK SATISFACTORY, PROCEED
,�
❑ CORRECT ACTION AND PROCEED
0 CORRECT WORK LL FOR REINSPECTION BEFORE COVERING
,_----''—+
Inspecior: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �
ADDRESS �S1 Y�Z �� � �� �.
OWNER CONTR.
PHONE NO. PERMIT NO. 1 I`�1I � tp
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPIACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION �MECH FINAL ❑
COMMENTS: �,���� � �
I� t�v� �u.t �-v�., i t r,6 l
�� c' r_ cLug IQ11..c �'lJJ1/� �r
�.�
�, !
. �� �;
, k ', �
��1.: i
-z —
�
r
� 2 -u 5 - �5
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
�CORRE W , CALL FOR REINSPECTION BEFORE COVERING
Inspector: � Owner/Contr: _
CALL 447 850 F (1R TH NEXT IN 24 HOtJRS I ADV AN�E
CODE REQUIREME,'VTSARF. FDR YO�IR PEItSON,4L HE�ILTH & SAFETY!
�NSrvori
� rRr CITY OF PRIOR LAKE �� Date Rec'
° �� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
� ,�,: �
�:- x
� r�
���'NF.S���P I. Pink F��C PERMIT NO. //////y ' �
2. Gmen Ciry / { � /A � I
3. Ycliow Applicant � � t � V
P(ease or rint and si at bottom
ADDRESS ZONING (otr�ce �se> l
� 5� y� E 11�en C i rc �-e __�
�
LEGAL DESCRIPTION (ofl5ce use only) �
LOT BLOCK ADDITION PID I
OWNER - � ��� �yc ,` -
(Name) _ (Phone) �(J� " �7 �� 33R � �
Address) ���' �en � 'e � �° 3 , �'� . 2s I
ic 15 El t
APPLICANT 1 �� . q f:2_ f�(,� ,(�, g��s
(Name) ��Y15 ��Cr M.Yti � C0. � (Phone) 'J _
I(Address) 1 i.��� fl�� �r�C� �fQr� KW�V ���U�� L��✓I 1
i (Address) (Ctty) (Z�p Code)
+ (ContactPerson) ��� (Phone) ��a'��s' g�S ___
I APPLICANT SIGNATURE DATE GO " �Q "� � �
APPLICANT PLEASE COMPLETE BELOW _ �,__
�NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODBL �,�lr Y � 2r � g M VCO C¢(� FUEL
FLUE SIZE RETURN OPENINGS INPUT �2D� �� OUTPUT ��, W" ___
TYPE OF SYSTEM HEATING OR POWER PLANT pLEASE NOTE: Air Conditioner
[�]'Warm Air Pla��ts ❑ Steam Units and Fireplaces Cannot Encroach I
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechaiiical ❑ Radiation Fireptaces with Box Additions or
[xAir Conditioning ❑ Special Devices — Cantilevers to the Outside of Buildings
❑Vent. System ❑ Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEESCHEDULE
Industrial, Commerciai & Multi-Family 1% of job cost Residential, Gas Fireplace �49.50
$49.50 minimum
Residential, I-Ieating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Onty (New Construction) $64.50 Residential, AC Oniy '�49.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $���
STATE SURCHARGE $ �•0 �'
TOTAL PERMIT FEE S _�_�- -
(Oftice Use Only)
This Application Becoroes Your Building Permit When Approved Paid �� Re ip o./ Z��
�, 10
Date� � � p _ � � •
Buildin¢ Official Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lske, Minnesota 55372
� � . . � . . . . -
� . . �.. , . ,
. . � . � . . , , , _ . 1 ' � - , , r
� .. ... .. � � '� .
v