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HomeMy WebLinkAboutPlumbing Permit #14-184 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. �_� � ❑ FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI O COMPLAINT ❑ FRAMING ❑ WATER HOOKUP � FIREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPIACE FINAL O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION �C MECH FINAL � �- �r nA�t v.. t�-�-�' �'� - COMMENTS• �M�, ,,,, � .,. � r � � ��-- � � � � 4JDIA( !1 v�A 1 �' �`` � (�l� -8z2--SZ. Z� �WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRE T W K, CALL FOR REINSPECTION BEFORE COVERING I�spector. Owner/Contr: CALL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HE,4LTH & SAFETY! uvswon �� � ��� a ��� �� �ab*� ���� o � rRl CITY OF PRIOR LAKE nate Rec'd �' -�� � H�ATING/AIR CONDITIONiNG/FIREPLACE PERMIT � �� � + U �� � ir1 " " -• �. P�n►c File PERMIT l�lU. 'I/ ��NNESD�P 2. Green Cily / �_ZL�j � 3_ Ye�toa• Applicant � "� � (I'[ease type or print and sign at botto�n) ADDRESS ZONING (office use) lU LEGAL DESCRIPTION (oHSce use only) LOT BLOCK ADDITION pYD OWNER (,��n ���� (Nai��e} (Phone) G "I \� (1 Address � I APPLIC T ���p, (Name) � .� � (Phane) IO���� �sU"� (Address) � t� � �� � � (Contact Person (Phone) l � � � APPLICANT SIGNATURE - DATE � APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTIO ACE T ❑ALTERATIONS FURNACE�MAKE AND MODEL S� O� �� ,� ��L FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OI' SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Wai7n Air Plants ❑Sfeam Units and Fireplaces Cannot Enc�•oach ❑Gravity ❑Hot Water into Required Side Yard Setbacics. ❑ Mechanical ❑ Radiation Fireplaces witii Box Additions or �Air Conditioning ❑Special Devices Cantilevers to tlie Outside of Buiidings ❑ Vent Systein ❑Other Devices Requi►•e a Building Pern�it. FIREPLACE MAKE AND M�DEL FEESCHEDULE Industrial, Commercial & Multi Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (Ne�v Constniction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Constructio�i) � 64.50 Residei�tial, AC Only $49.50 Cast $ °� Building Pennit# �-IEATING PERMIT FEE $ -J� STATE SURCHARGE $ 5.00 TOTAL PERMIT FCE $ ��,) Tl�is Application Becomes Your Building Permit When Approveci Paid�� � Receipt Na Date / By Building Official Date 24 hour notice for all inspettious (952) 447-9850 4646 Datcota Ste•eet S.E., Prior Laite, Minnesota 55372 i ��� C�� � �� ,��2�� 4 PRIp CITY 4F PRIOR LAKE Date Rec'd ° � �` �' HEATING/AIR CONDITIONING/FIREPLACE PERMIT � �� � � v� : ns 1. Pink File pERMIT NO. '��hNESO'� 2. Green Cily / / � Z�7 3_ Ye{to►v Apglicant / 7 (Please type or print and sign at bottom} ADDRESS ZONING (office use) � n �� � LEGAL DESCRIPTION (oHSce use only) LOT BLOCK ADDITION PID OWNER /,�n �+�/,�— (Name) A S (Phone)`�JL l"I`t Address �� �� APPLICAN (Name) u� � (Phone} � � �; ��"" � (Address) � _ (Contact Person) (Plione) �� �� APPLICANT SIGNATURE • DATE �' U' l�' APPLICANT PLEASE CUMPLETE BELUW ❑NEW CONSTRUCTION [�REP CE��T� n pALTERATION FURNACE�MAKE AND MODEL �,X FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT �(Q IC, TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner �Warn1 Air Plants ❑Sfeam U��ifs and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into ReqafrecE Side Yard Setbaclts. �Mechanical ❑Radiatio�t Fireplaces with BoxAdditions or ❑Air Conditioning ❑Special Devices Canfilever to tiie Outside of Buildings ❑ Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL ' FEESCHEDULE Industrinl, Cbm�nerci�l & Mu�ti Family 1% of jab cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (Ne�v Const��iction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Constructia�i) $d4.50 Residential, AC Only $49.50 Cost $ �. �J� Building Pennit# HBATING PERMIT FEE $�.�, STATE SURCHARGE $ 5. TOTAL PERMIT FCE $ This Application Becomes Your Building Permit When Approved Paid Receipt No. Date y � By Building Official Date 24 hour natice for all inspections (952) 447-9850 46q6 Da[tota Street S.E., Prior Lalce, Minnesota 55372 ; i � DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. —' �� 0 FOOTING � PLUMBING RI ❑ EX/GRADIFILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPIAINT O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI � INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ,�C MECH FINAL � - COMMENTS' �rnl � � T � C- � � ' vt.. c-�,.�.� : � �s �,� r �i vv. � 1 n� C"�V� C.� �,! � 1� �WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRE T W K, CALL FOR REINSPECTION BEFORE COVERING Inspector: OwnedContr: CALL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTI ��� 5�.�� ���-� �oaa�, � ���5�a � Q PRIp� . Date Rec'd � � CITY OF PRIOR LAKE PLUMBING PERMIT - v ar� . _ . ' � z �,� ��, PERMIT NO. I L� � � � � 7. Ycttmv Applican� 2ease e or rint aad si at bottam �D��� , ZONING (otttce use) 1�13a� �vbr� (�.d I� � LEGA�. DESCRIPTION (oflice use oniy) LOT BLOCK ADbITiON PID � ��� t AA � (Phone) a5 a — � / � [ `7 y l0 (Address) APPLIC T � � _ � (Name)� h I,T 1n �il�ld��l � 1 T �� L) UYl b 1 nq (Phone) ���`" �o� a a y� (Address) � % � �P ��� � � ,lV � /" L S �J` yl� (Address} (City) (Zip Code) (ContactPerson) �✓ 'C � �f I�LJ�� � (Phone) �l� '_ �O� � -- 5` a � a APPLICANT SIGNA'T`C7RS DATE �l a ���� APPLICANT PLEA5E COMPLET� BELOW uanti T e of Figture Quanti T e of Fixture Bath Tub with or without sl�o�ver Rou h-ins Dishwasher Water Heater F1oor Drain Water Softener Lavato Bathroom Sink Stand Pi e Washin Machine Laund Tra 1 or 2 com artrnent sink Sewa e E'ector Shower Stall Backf�ow Assembl Sinks Backflow Assembl Test Bar Sink Lawn S rinkler Water Closet Tailet Other Tl�e Minnesota Stat��tes § 326B .1•¢$ � �'joli costwith $E9.50 nu�n mm� Residendal, New One &'ltivo-l�ami[y $149.50 " SURCHARG� " has been extended �� xesiaenciat Additions �t Altezations �49.50 � The mi��imum surcharge for a �. "fixed fee" pe!•rnitfs �s.00 $ B��ilding Permit# - PLUMBING PERMIT FEE $ • a STATESURCHARGE $. X�� 5.00 TOTAL PERMIT FEE $ _ �"j (.� , � {Otfice Uae Oaly� • - This Application Becomes Your Building Pern�it When Approved Paid � �eipt No. �G � l . ___ _ -- nat�-3 �3 � � B Buildine Of(iclal Date � 24 hour notice for all inspect�ons (952j 447-9854, fax (952} 447-4245 sf646 Dakota Street S.E., Prlor Lake, Mlnnesota 55372