HomeMy WebLinkAboutBuilding 08-0417
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1-24-0/
ADDRESS
I (, '3~ 1 /JI ~~I Av<-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-L-f ('(
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
o FIREPLACE RI
~IREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL~INSPECTION BEFORE COVERING
Inspector: r/t1Y Owner/Contr:
{/ r
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~IKEPLACE PERMIT
(Please type or orint and sian at bottom)
ADDRESS
_J(~j5 J
ctJ.~CUt 'f .1} lJ.< . S [.,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) ~f 11 ~I
(Address) / 10 35 I
.~ Y1'\ 0 f1
(} I hflt111 A vr:..
,
APPLICANT
(Name) B {1 rn511.J.k
(Address) 7J-J. l' W.
Fi r<:pla(":<=,_ Dr?~
Hu~v J ~
(Adkss)
(,;)a: nd4. !J fA h J I t "2-
APPLICANT SIGNATURE ;lL)(j~...tu, ~
a...
(Contact Person)
Date Rec'd
~. ~ ~:~ PERMIT NO.f)' ~ , C)4- /11
3. Yellow Applicant U
{
ZONING (office use)
PI'I d,.. "c. /6-
PID
(phone) ~ - 7L/ 3 - 90.;;?
(phone) 9..scJ -
/Jl1l'{1S U I "lic
(City)
fl9 tJ - 7 a if V
7n'n 6- 633 "7
(Zip Code)
(phone) q,nl ~ S{7Q -7cJL{ Lr
DATE j" -I ~-tJ Y
APPLICANT PLEASE COMPLETE BELOW
[]NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System ~ Other Devices
FIREPLACE MAKE AND MODEL Reap.,., /"' v ~ /)
v
FEE SLIt~DULE
1 % 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 & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ J . J 00. () 6
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
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.
$49.50
$49.50
$49.50
Building Permit #
$
$
$
41.sQ
.50
.c)'f), 00
Paid 50, VLJ
Dare &(t 1/ Df
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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R~~iPt No'51 0'15
BY~
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This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date