HomeMy WebLinkAboutMechanical Permit #08-0709 CI7Y OF PRIOR LAKE DATE TIAAE
INSPECTION NOTICE SCHEDULED 3�� �
ADDRESS ! � ` � � � G � � ' , �-
_ _--_�
OWNER CONTR.
PHONE NO. PERMIT NO. �.��' -' � � � �
� FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP '�IREPLACE FINAL
O FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAI ❑
COMMENTS:
:
-�r�-�.s�.. f
�
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ��• � � °`�"�...-�. Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
DAT TIME
CITY OF PRIOR IAKE
INSPECTION NOTICE SCHEDULED 1 ° 3 G= �p
ADDRESS ' "�` �� �' OC.-�c..���CL- � l R
OWNER CONTR.
PHONE NO. PERMIT NO. � ' � �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP �9',FIREPLACE RI
❑ INSULATION ❑ SEYVER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL � PLUMBING FINAL � GASLINE AIR TST
❑ SITE INSPECTION � MECH FINAL ❑�P_
COMMENTS: �� , �Z.�i - c�� � .
�� . .
.
,,.,�
'��t7 WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
��,
Inspector:
� � � Owner/Contr:
CA LL 447-9850 FOR TH� NEXT INSPEC 2 � HOURS IN ADYANCE.
�Q�E REQUIlIEMENTS �3RE F(3R YOUR PEFfSC?IVAL N�4LTH & SAFETY.i
tNS,van
� pRj� CITY OF PRIOR LAKE Date Rec'd
° �� HEATING/AIR CONDITIONING/FIREPLACE PERMIT Q �" ��
� . ,
� x
� �
r� � O ,SQ+ l. Pink File PERMIT NO . /�
NNES 2. Green City �y( O O
3. Yellow Applicant V
lease or ' t and si n at bottom
ADDRESS ZONING (oflFce use)
� ���
LEGAL DESCItIPTION (office use only)
LOT BLOCK ADDITION P�
OWNER /�
(Name) �� V �e-�Z (Phone)
(Address) � � C( O � �
APPLICANT/� p � , c� �v�Z D�/��
(Name) �J (Phone)
(Address) ��� ���� � V Q' `� � 3 �
(Address) ( ) (Zip Code)
(Contact Person) v � e (Phone) ��Z� 3G� � �t �
APPLICANT SIGNATURE DATE �' y ���
` APPLIC T PLEASE COMPLETE BELOW
❑NEW 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 into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑ Special Devices
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
, ] Require a Building Permit.
FIREPLACE AKE AND MODEL �f N 1.0
FEESCHEDULE
Industrial, Commercial & Multi-Family 1°/a 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 $ .$�, UU
(Oftice Use Only)
This Application Becomes Your Building Permit When Approved Paid 6 —� , dO Receipt o. ��
/
Date . J ,r- 0 G, By .
BuildinE Official Date ��
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372