HomeMy WebLinkAboutBuilding 08-0158
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~'.k-OK
ADDRESS
3.so(
f3 tAl // ~/6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~~/~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
_FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
{?IU
is
/ ~v'( r
DIIIJ
Int-t)j d/
tWORK SATISFACTORY, PROCEED
CORRECT ACTION AN~OCEED
o CORRECT WORK. CItff' FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
/NSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~.. ~;:Cn ~!~~y \ PERMIT NO. 0 CR.. Di'Co. I
3. Yellow Applicant (,) ;:;;J (J
(Please type or 1>rint and si~n at bottom)
ADDRESS ' ,
35D J 1)a.,y k:1'tb1ls Drive, N 'W
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
&:RShaxoJL VlVAlVllje_rt-
(Address) 3t:fl1 '6 PJ.,/ ~-+t.611.s "1.1Yl V .i tv'. \1/
,
APPLIC A NT) {'. C'.-
(Name) '~Vle.re{l%. h'(pP I df f_ r::JaJC$ I Ji'1L. (Phone) Qc; 'J- -tj40.-511 J.. ()
,
(Address) liP /51 tL.(tu~ Av..e. 6& Vf[Or LaJt.e ,5'5371-
'0 (AddreSS)!l (City) (Zip Code)
(Contact Person) ~~-~ LJ6- I (Phone) &12-& Ifp-7 ;)-d-J-
I APPLICANT SIGNATURE (~/: 'ft!!JJ,{/ ~ DATE 3-3/~09
APPLICA~T PLEASE COMPLETE BEL~
. DNEW CONSTRUCTION 0 REPLACEMENT ALTERATIONS ,
FURNACE MAKE AND MODEL FUEL tJ [;t t. Ga \
FLUE SIZE ~~ ;v\,,;)ld,~ _ I RETURN OPENINGS INPUT OUTPUT
rz.r t:,\O.<."
TYPE OF SYS EMOU.. HEATING OR POWER PLANT
(Phone)
05:2 ,Lf 40- i5:1:l.--
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
PLEASE NOTE: Air Conditioner
o Steam Units and Fireplaces Cannot Encroach
o Hot Water
into Required Side Yard Setbacks.
o Radiation
o Special Devices Fireplaces with Box Additions or
o Other Devices Cantilevers to the Outside of Buildings
_ /J j . Requi~e a Building Permit.
k~.esnc'- VeV"~J2!1t C,Silftq1 K- f1J :;ilY - Dif.(!C;- 'vlrd--
l,'tk 'W \(\ ~pe(tDr 1t> looK- ar-,
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
FIREPLACE MAKE AND MODEL
~p (e S 5 l,ue... ks t 0\'\ g {:t$
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $ z.a} 6D ..,.
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
'5f. !)O
dO
.50 ~S i{O.
1./1). 0 ()
"flee Use Only)
Buildinl! Official
Date
Paid 4V, tV
Date 4-~ '1. of'
Rece%t No. .!:>~b4-
BYj-
fhis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372