HomeMy WebLinkAboutMechanical Permit #08-0928 DATE TIAAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED r�� I
' � � (�- ° �
ADDRESS �+ G� ` \U V'� \'
OWNER CONTR.
PHONE NO. PERMIT NO. � � ' �� � �
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI D COMPLAINT
O FRAMING � WATER HOOKUP ❑,,FIREPLACE RI
❑ INSULATION ❑ SEWER HOUKUP "�°�FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor. - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
tNSNOTI
DAT TIAAE
CITY OF PRIOR LAKE � Z
INSPECTION NOTICE SCHEDULED
.
ADDRESS �I ��� �
OWNER CONTR.
PHONE NO. PERMIT NO. � -� -� �Z�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP � FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
..,
COMMENTS: ���` C: '�-�`� ..� i�-���"
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�� � � � ,� � ��x . .�% . ,� = % � �,-'�''.
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
E! CORRECT WORK, CALL FdR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOF2 'fiNE NEXT IPISPECTif�t 2 4 HOl IN ADVANCE.
CODE REQUIREMENTSAftE FQR Yt7UR PER.SONAL FL,�ALTH & S,AFETY.�
ensnarr
a4 �g�R 1 ��
CITY OF PRIOR LAKE Date Rec'd
ti�,' � ' `V `� �
� �l HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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I. Pink FiIY pERMIT NO. 8� y�
2. Green Cit
3. Yellow Applicant
Please or rint and si n at bottom
ADDRESS ZONING (ott'ice use>
�! ��`� �42�r�U G S� ir�.�o� �1��
LEGAL DESCRIPTION (oft'ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) �Q.f"�-l. '� �LL161,-c� �.2'�'t (Phone) ��(ola � a� � °�
(Address) �� �02:SCaiJ G�rL.GL� �� �Qy�12_ L.IAIL� M1.� iss�o�
Y APPLIj ANT � � �`1 (Phone) C�O� � 3�-L� a ���
(Name
� (Address) 4 �� �02�1�� G�S'�G.L�` � �QS�Z�2 �-p`�G� c ��
(Address) (Ciry) (Zip Code)
(Contact Person) �oL�'Q (Phone) C��o�„� 3 � ° �
APPLICANT SIGNATURE o DATE �t ��✓ °`��
APPL CANT PLEASE COMPLETE BELO
QNEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water
❑ Mechanical ❑ Radiation into Required Side Yard Setbacks.
❑Air Conditioning �Special Devices Fireplaces with Box Additions or
❑Vent. System Other Devices antilevers to the Outside of Buildings
,/ 1, -_ Require a Building Permit.
FIREPLACE MAKE AND MODEL �L�l K�T Q� OS12 �
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 $ (� �i�y. � Building Permit #
HEATING PERMIT FEE $ 4a� ��
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ � .0�'
(Office Use Only)
Thi i tio Becomes Your Building P u•mi When Approved Paid Receipt No��
L Date 11 By
il fficial Da
24 hour notice f all inspections (9S2 447-9850, ax (952) 447-4245
4646 Dakota Street S.E., Prior La e, mnesota 55372