HomeMy WebLinkAboutBuilding 07-0092
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
If, r!t()
OWNER
PHONE NO.
SCHEDULED
(Z(-J ~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
JJ~'NAL
/ / r
/ / / I)~
I L--A '--' '-' -
\
~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
7-/y~
(-q l...
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
O.
~
I )
/
bl-#' ./
/
~
-- ----
tf'f
~WORK SA T1SFACrORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, CA~OR REINSPECTION BEFORE COVERING
Inspector: /f)/1Y Owner/Contr:
V .
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
uJ
(Please tvOe or orint and si$ at bottom)
ADDRESS
lloQ80 b\\11Cl. ~~ ,,\.
Date Rec'd
fEB 2 8 l.007
1. Pink
2_ Green
J. Yellow
~::y I PERMIT NO. 07 00 Q7
Applicant . l ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER"1'\ ". _,-.\
(Name) r"IL.L\LJ.Cl \ \ ~'~
(Address) \ G C\ ~C)~ i rcl Lo.-.~l( \ .
APPLICANT "'
(Name) \ I..\r-..h\'ex~) ~. ~'Ir\)O , I ~
(Address)Gq ~ l:~. \4t-;tb- G\ . ~ \N -
(Address) 'l
(Contact person)JWL:t....LJ
APPLICANT SIGNATURE(lA-..tl-d tJL il-t J..-"
ZONING (office use)
PID 2-)- 011. Cl q(;1- 0
(Phone)q~-44D- ttSBY
(Phone) a.9--4~- '1cQq
Ct~ aU \fJ. \ C-6I.:LL.
(City) . --.J (Zip Code)
(Phone) q~~31-7C!lq
DATE d-~~-rSI
APPLICANT PLEASE COMPLETE BELOW
. []NEW CONSTRUCTION !frREPLACEMENT 0 AL TERA TION~ _ ..L _
FURNACE MAKE AND MODEL~U 'tel. - UG-P(0 (YI FUEL ~O-J...
FLUE SIZE to\\ RETURN OPENINGS INPUT'~ a.1::'J' OUTPUT~ ('"''
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
{j-Mechanical 0 Radiation
~lr Conditioning 0 Special Devices
OVent. System 0 Other Devices
'U
-rrtJL:\CE MAKE AND MODEL ~L.l...Ll.tL - LLf\.t-JLO.)..4 '.;;L-tDr\
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $ 4f''' ').
HEATING PERMIT FEE
ST A TE SURCHARGE
TOT AL PERMIT FEE
'Office llse Only)
.'his Application Becomes Your Building Permit When Approved
Building Offici:1l1
Date
Building Permit #
$
$
$
.~.,~)
.50
l..~.
Paid 4O.DO
Datez.- . ~ ~ .b 1
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
\ Receipt No. 5 vB 14-
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