HomeMy WebLinkAboutBuilding 08-0451
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .) '-\,5D l
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
I DATE
1 z't/d$
. /I
TIME
~~~
CONTR.
~ - l./~I
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
/_ ,ECH FINAL
4.C. ( J-- t\Jt~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
O.
. II fJ
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__ ._ ./ __ J v ~
1'\(
- I (t~
vt WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRE~LL FOR REINSPECTION BEFORE COVERING
Inspector: (f &~. Owner/Contr: .
~A~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
\J:'lease tvue or uri"-t and sign at bottom)
ADDRESS
(~~I Shore Lane tVE
Date Rec' d
I. Pink File PERMIT NO "A
2. Green City . .0._ B. lH-stJ'
3. Yellow Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~=R Rank' r 5J(.rIf trusChK:e
(Address; 4 57/ 5h~(e lfJne rv E Ff lor lI4 Ke
~;;~~mrtS MeehanlCOI lnD
BfiuK' '1t1rct frA
(Addressi'WI(J OlC1
Under
(Contact Person)
(Address)
APPLICANT SIGNATURE
(PhonJVr~1_}LfCTt7- {/1JC3
_ (Phone061-445- 8585
5hcttVrx~F 5537q
~) r; t!'-ip Code)
. (Phone}11J14LfJe5e~
:1-- ?--O~
DATE
APPLICANT PLEASE COMPLETE BELOW
DNJEW CONSTRUCTION ~ REPLACEMENT 0 ALT~RATIONS
FURNACE MAKE AND MODEL ~(U\\;\'\OC (1U\rY\(Jv-?iIlerct\1 FUEL JJGl
FLUE SIZE RETURN OPENINGS INPUT .g.-O~ Cf:i) _ OUTPUT ---'.Ii.L, ~D
TYPE OF SYSTEM HEA TING OR POWER PLANT
New Fees Effective January 8, 2008
Commercial Plmbg.lMech. 1 % of job cost, $50.00 min. ,lace
Commercial Sewer/Water 1% of job cost, $52.00 min.
Residential Sewer/Water $51.50 + .50 = $52.00 .
New Residential Plmbg/Htg. $149.50 + .50 = $150.00 ; & AlteratIOns
Residential Add/All. Plmbg/Htg. $49.50 + .50 = $50.00
DWann Air Plants
OGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi..Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
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
$39.50
$39.50
Building Permit #
"flee Use Only)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lhis Application Becomes Your Building Permit When Approved
Buildinf! Official
Date
$
$
$
~4~Sl)
.50
~O.ll') .<lJ;(/()
RooILg,:wo
I BYj.
U
Paid-SlJ, em
Datez / B, (Ie
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372