HomeMy WebLinkAboutMechanical Permit #12-0652 � � C
DATE TIME
CtTY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULEO �' �` �
ADDRESS � �� I` -� �� �-`�'a 1�" � � � �'� _
OWNER CONTR.
PHONE NO. PERMIT NO. �� �' � S�
O FOOTING 0 PLUMBING RI ❑ EXIGRAD/FILLING
❑ FOUNDATION ❑ MECH RI O COMPLAINT
❑ FRAMING 0 WATER HOOKUP ❑ FIREPIACE RI
❑ INSULATION O SEVYER HOOKUP f� FIREPIACE FINAL
t] F1NAL � PLUMBING FINAL O G SLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAI. '� ''�-r^� �'�
COMMENTS:
�� �. c � � '��-.
� ;v� � r N �� %�� �'
v,,,�� c�c e. t 5`�. � o
��
� F i�� -
G�� c tivitY
Ina
�u t� p� %
�;� .�`;r �
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, C LL FOR REINSPECTION BEFORH COVERING
Inspector: OwnedContr:
CALL 44'1-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY.�
WSNOfl
DAT TI�AE
CITY OF PRIOR LAKE �
INSPECTION NOTICE SCHEDULED �C.
ADDRESS 1���� `li G�o t i w �U ?11-2�
OWNER CONTR.
PHONE NO. PERMIT NO. ( Z—�p j�,
❑ FOOTING O PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION � MECH FINAL ❑
COMMENTS:
�. M�.�.��;.� t�` Cl.e�-�_ O C �4GS�, (�
��r 2��-,-9c �`-� •��3
r :/ f',
i {
( �_,+ .� � j : '
. s ... � ./� .- .
T
`� .�
i'
T' '�
K��' a � cq; ,.
❑ WORK SATISFACTORY, PROCEED ��� (�'Z�I�
O CORRECT ACTION AND PROCEED
� CORR RK, CALL FOR REINSPECTION BEFORE
Inspector: OwneNContr. _
CALL 44�= 850 FOR THE NEXT INSPECTION 24 HouRS �n p►vvhn..c.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH d� SAFETYI
INSNOTI
r
�
(''. �
� pRtp CITY 4F PRIOR LAKE �" Data Rec'
� : �'� HEATINGfAIR CONDITIUNING/FIREPLACE PERMIT
; �. �
�
: �''+�s°"�`' Z: �`a;�, �';� PERMIT NO. �Z, � ✓ � I
j 3. Ye11mr AppGcant �
� or a�d sl at bottam
ADDRESS ZONI�TG (o�s« o�e)
; f . � �.J �^
� ' .
LEGAL DESCBIPTION (office use onty)
LOT BLOCK ADDTTION PID �
UWI�TEQ ' / .
(Name) AI (Phone) q.,����b_���� �
(Aaa�ss} � V ►�C r � �, �• -
ArrLYC�vrr , n [' .
(Name) � � .1:. {Pb.one) '✓ '
(Address) • -, 1 Y �. f
�) • (c ) (�P �)
(Contact Ferson) �B ' (Phone) �[0�"`�7�.-���
APPLIGANT SIGNATURE DATE �
� �
A PLICANT PLEAS C4MPLETE BEL�W
QNEW CONS UC ION REPLACEMENT ❑ ALTERATIONS �
FURNACE MAKE AND MODEL FUEL _11����� � �
P[,UE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE �F SYSTEM HEATIIV'G OR POWER PLANT .
PLEASE NOTE: Air Conditioner
�Warm Air Plants ❑ Steam Unfts And Flreplaces Cannot Eacroach
Grravity ❑ Hot water iato Required Sfde Yard Setbacks.
❑ Mechanic�l ❑ Radiation
� Air Coadi6oning ❑ Special Dcvicea �epl�c� with Boa Addition� or
Vent. System ❑ Orher Devices C�ntilevers to #6e Ontside of Buildings
Require a Building Permit. .
FiREPLACB MAKE AND MUDEG
FEE SCHEDULE
Industrial, Commercial & Multi-Family t°/a of job cost Residentiat, Gas Fireplace 549.50 '
$49.50 minimum
Residential, Heati�g 8c A/C (New Constructiun) s149.50 Residential, A,dditions Sc Alterations 549.50
Rosidential, Heating Only (New Conatmction) 564.50 Residential, AC Only $49.50 .
Estimated Cost S Building Permit #
Tlie IVtinizcsota Statutes ,��' 32GEi. i48
HEATING PERMIT FEE $ � "S�RC;i-E�1RGF" h�,t been cliungcx! !'or one
yEaF �TPCCtI V�
STATE SURCHARGE $ J��ry �, zc��o, �,nc�� .�t�nc ati, io� i.
TOTAL PERMIT FEE $ Thc �nintmam surcharge for a "Pixecl fee" perm�t
(O �� �� ��,) is 5�, be�inninR .Ju1y 1.2010
This Application Secomes Your Building Permit When Appraved Paid � � R eipt No. J_/„ � Q, z
ttJ `� �- l.J
sauai.� o�� ua� �� �Q . Z � • ( Z/ '
24 hour notice for qli inapections (952) 4d7A850, fax (952) 447-4?.�t5
46461)wkota Street S.E., Prior Lake, IVainnceota 5537t .
�
,�
•
.
,
�. �;�