HomeMy WebLinkAboutPLUMBING PERMIT 16-1302 DATE TIME
1 A LS I b
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE
ADDRESS
CONTR.
OWNER
PHONE NO. \' � "�"
PERMIT NO.
O FOOTING
0 PLUMBING RI ❑}
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❑ FOUNDATION 0 MECH RI 0COMPLAINT
OMF
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACERI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL L
T
O FINAL
0 PLUMBING FINAL 0 GASLINE AIR AL
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: -Z` \kiih am`
WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
Inspector:
C --
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN &SAFETY!E.
T
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
INSNOTI
CITY OF PRIOR LAKE Date Rec'd
••+ ;,frr k of rRro�e ONDITIONING/FIREPLACE PERMIT `(- 7. ( b
1.Pink File PERMIT NO. `� I
2.Green City 43
INNEso� 3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
Aor
/ - �
J
�o 27 /01^-e/ 4t; yr L /
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICAN Di�,�d;1g (Phone) Is� �-) 3 - 7/5-a-
�
(Name) 6�l7f�n Car- /
(Address) /WC ei/ t d V V. tv•►u�.. flv 5
/, (Phone) q5-P-) 3 .--C - 7/S
(Contact Person)ri:h t()5(,-, 4v f et"
�i DATE 1/ -7- />o
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ORLFLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
OUTPUT
FLUE SIZE RETURN OPENINGS INPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants ❑Steam !A Units and Fireplaces Cannot Encroach
El Gravity of Water V`� Z t“V--` into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial&Multi Family J
1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating&A/C (New Construction) $149.50 Residential,Additions &Alterations $49.50Residential,AC Only $49.50
Residential, Heating Only(New Construction) $64.50
Cost$ Building Permit#
HEATING PERMIT FEE $ ST)
STATE SURCHARGE $ .00
TOTAL PERMIT FEE $ �l 5
This Application Becomes Your Building Permit When Approved Paid 0_ Receipt No. 732,0
Date Date /i Z�l By of Jr/
Building Official ��
24 hour notice for all inspections (952)447-9850 Y,
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372