HomeMy WebLinkAboutMechanical Permit #11-1146 �
'- DA TIME
CtTY OF PRIOR LAKE �-
INSPECTION NOTlCE SCHEDULED � /3 ID ;�
ADDRESS � s ��(p � 2E�•J �S ��
OWNER CONTR.
PFtONE NO. PERMIT NO. I I�
O FOOTING � PLUMBING RI � EXlGRAD/FILLING
❑ FOUNDATtON ❑ MECH RI ❑ COMPLAINT
❑ FRAMtNG 0 WATER HOOKUP ❑ FIREPUICE RI
O INSULATION ❑ SEWER HOOKUP ❑ FIREPtACE FINAL
❑ FINAL ❑ PL.UMBING FINAL CJ GASLINE AIR TST
� SITP INSPECTION �MECH FtNAL ❑
COMMENTS: � �S � n�
� P��
� GF��f c ��
� WORK SATiSFACTORY, PROCEED
� �
❑ CORRECT ACTION AND PROCEED
❑ CORRECT O K, CALL FdR SPECTION BEFORE COVERING
�
Inspector: OwnedContr:
CALL 44 -9$ 0 FpR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
txsnari
QATE TiME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � ' �
ADDRESS ��SG/� �`,-.� I�r � //�s _ ��L
OWNER CONTR.
PHONE NO. PERMIT NO. ��J —� SL-�
❑ FOOTING O PLUMBING Rt ❑ EXlGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP O FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL �
_COMMENTS: ��������- � ����''��� �`�-�'��r� � �
,
� � � t � �`., �� ,
���� "°�-' -Zti,+'', � � �?
.-- J �- /� /`�
, _.. � li� L F (=f� c/ � �/. ` ��� ��`� �' � i� .. i`1f -G'� L2� 'i / �i" Cr ��.
c
! J
`z'. 'yra.C" t 1 � ? � � ' '� �_�i �� (�- � �! �� ��
, �,
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
I�1 CORRECT WO�RFS,�CALL fOR REINSPECTlON BEFORE COVERING
�r%�' '/_-
Inspector: � { Owner/Contr:
f:
-r
CALC. 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY.�
lNSNOTI
o � rRlo �,/ CITY OF PRIOR LAKE Date Rec'd
,� � HEATING/AIR C NG/FIREPLACE PERMIT
N �
� � '�` ��-�
r�I ,tQ. �� 1. Pink File �*� IT NO .
NNES� � 2. Green City PE�vl /
3. Yellow Applicant / {'
ease e or ' t and si at bottom
ADDRESS � ZONING (ot�eice use)
Js� q (� ��'e C�a-� 7r����
LEGAL DESCRIPTION (oflE'ice use only)
LOT BLOCK ADDITION P�
(1V me) R Y (� �/ 1 � � /"V/ J (Phone) 1(JJ' ��O � � +
(Address) S � � ��f"✓ � � � 1
�aPmLeCANT � f L(6 � � �rf !/ / ! � ��Jwl (Phone) IG� / � `7 77 — �'f � ��
� (Address) I �D � �[�' �/ / ' I I � I � � ��fiv I
(Address) (City) (Zip Code)
+ (Contact Person) I (Phone) � 7 ���
APPLICANT SIGNATURE ` DATE �� � �� I
APPLICANT PLE S COMPLETE BELOW
` �NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL O7D3 $,/` FUEL
FLUE SIZE RETURN OPENINGS INPUT O� D OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑ vlty ❑ Hot Water into Required Side Yard Setbacks.
Q Mechanical ❑ Radiation Fireplaces with Boz Additions or
❑Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑ Other Devices
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEESCHEDULE
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 $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE S
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid � eipt No. /��.�
G� ►'
Date h n'
Buildin¢ Official Date � V �(�.f, � �
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 �•