HomeMy WebLinkAboutBuilding 08-0518
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(~
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--
DATE TIME
SCHEDULED
7-L-4~~
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CONTR.
PERMIT NO.
~-- 5? ~
o PLUMBING RI
~CHRI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
Yo CORRECT ACTION AND PROCEED
o CORRECT WO~K..:.' C C~ OR REINSPECTION BEFORE COVERING
Inspector: Vyy/ Owner/Contr:
, I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OJ"' PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
APPLIC~T IJ -I- 1
(Name) L..,.,pJ t} r eq 111 ~
(Address) ~<5 6' 2.. 4r:.~JJ t ^j ~r 5k/
L'J ~d (Address)
(Contact Person) ~,~. ^ e) J1
APPLICANT SIGNATURE -'3./l A'b--Il.. ~AYu
-- ------, - -
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL t'oty\4>>--~/f1qtr;;.... FUEL /vqf-
FLUE SIZE~.r' fJ 1/ C:.~ RETU~N OPENINGS INPUT 7~ OUTPUT
(Please type or print and sil~n at bottom)
ADDRESS
f~~ /2 Aid;} emoni-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
r~nk
&v/~s
,
(Address)
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
Date Rec'd
1. Pink
2. Green
3. Yellow
~
I PERMIT NO. f3 - ~r B
File
City
Applicant
ZONING (office use)
PID
(Phone)
(Phone) (P/~ -3tP~ - 3'1 3 i
A/C)Mq~ JA1~ ~S"3 72-
(City) , (Zip Code)
. (Phone) fdJ..-"3~-3~34
DATE 7/LtL/ (!) ~
. ,
cP,6S
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.
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
$49.50
$49.50
$49.50
Building Permit #
HEA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only) ) f
This Ald(lli~a~.: a Bocom" You. Build;ug PrArm :Wr!hn A -roved
\~ ., Z 05-
Buildinl! fficial ' Date'
I
4C( - ~
.50
c:-O _ -
j
Paid
e:;o.. -
(,-~ I~)
,
Receipt NO.L)'U l '7 J
By ~ (A-.
Date
7
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372