HomeMy WebLinkAboutBuilding 07-1127
DATE TIME
.cITY OF PRIOR LAKE 7~!S~
INSPECTION NOTICE SCHEDULED
ADDRESS 4 ' t./- VVr~Jy~ ~
/ ~
OWNER CONTR.
PHONE NO. PERMIT NO. "7 -//2 J
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
?vv~
~ l. .~'/
/ / /J ()~ /-, G /
\ ~ . ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~~
')
o WORK SATISFACTORY, PROCEED
o CORRECTAC~IONANDP OCEED
o CORRECT ~~RK, OR REINSPECTION BEFORE COVERING
Inspector: J . Owner/Contr:
V '
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
1f<SNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Dilt~ R\)~'d
(Please type or print and si~n at bottom)
ADDRESS
t.t(~5 Wlnd~Jnq (irGle Nf
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
&:Rtaren ~t Jarfit) 5her
(Address) ~ Ilf5 v\ltnd sanq CI r 01 e tv E
, J
~~;~~ANT Ik/<; lJYki),tlhifd &zo.
(Add"ss) /fJJO/1J Old /f!1tf, tfJd /JaI
(Contact Person) L1111itl cJtr-n_ 'if
1flfht
APPLICANT SIGNATURE
\. Pink
2. Green
3. Yel10w
I PERMIT NO. t. (I z. 7
.
Fi\e
City
Applicant
ZONING (office use)
PID
(Phone)Q62: It LfO' Lt1J, 7
(Phone) tJ5~. L!L/I}-R6%!i
~ 5~319
(City) (Zip Code)
(Phone) tlbl,- tlL/5,1535
I}- I L).6}
,
DATE
APPLICANT
[]NEW CONSTRUCTION
FURNACE MAKE AND MODEL ~y f\.tV
L~A,SE COMPLETE BELOW
~ REPLACEMENT 0 AL TERA TIONS A J
~<6U\leo~ FUEL /vf:;}
INPUT {{i) IriJO OUTPUT 51, 00 0
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
HEATING OR POWER PLANT
OWarm Air Plants
~ ~avity
I ~ j1echanical
'C Air Conditioning
OVent. System
o Steam
o Hot Water
D Radiation
D Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
$
$
$
~.q)
_ .50
4O.oD
(,
j
1eiPt No. 5\-V5l,
y
Paid 40, OV
Date J t, 2,,/. 07
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date