HomeMy WebLinkAboutBuilding Permit 08-0717
CITY OF PRIOR LAKE
INSPECTION NOTICE
DAre rIME
SCHEDULED
3-=....Z3, c;L __
ADDRESS
/ (p 8~3
W/L-GO(,V' LN,
OWNER
-
PHONE NO.
CONTR.
-
PERMIT NO.
fi.717_
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
~LUMBING FINAL
/\ MECHI F'J'AL
19/e-
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
0--.
COMMENTS:
-
U~S" _
Ih~ ~iLe-
-
-
-
-
--
-
-
-
-
--.
-
-
-
-
-
-
-
- Il~ hc.t___4J -=-
~WORKSAT~FACTOR~PROCEED
o CORRECT ACTION AND PROCEED
o COR""CT/7.RK. CALL FOR REINSPEenON SEFO"" COVERING
,...._ ~ b _ Ownencontr. _
~ll"'7 ."... FOR THE N~ INsPEC.11ON 2'.!tOURS IN AD'{ANCli,
CODe REf/U1llEMENJsARE FOR YOUR PERsOl<<L IfULru .. SAFETy}
-~
INSNoTJ
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
; ~e~n ~::y I PERMIT NO.oo 0117
3_ Yellow Apphcant [) '"
(Please type or print and sign at bottom)
ADDRESS
sJ
110 ~ 4~ i ~ ') l ,("') LA \ Il~.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
G {2 f??~
1 <.0.5 (--i ~
b ,'"),.~ ~ It.. "-
oJ ' \ 11l c.U- 1 ~ .
<;'J
(Phone)
Lofgren Heating & Air Conditioning
5708 Upper 147th St. W. #102
. Apple Valley, Mn. 55124
}.JiU'j ~/1~1 /
(Phone)
(City)
ZONING (office use)
PID
(Phone) 95"d -4'31- ~II
(Zip Code)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
. ~
DNEW CONSTRUC-gON ~~PLACEMENT 0 AL T~RA TIOrJ
FURNACE MAKE AND MODEL 11-/<:.. {J,q.R!2/~}t'. M'l~(j~a
,
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
DGravity
o Mechanical
Ii1Air Conditioning
t:JVent System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
Estimated Cost $ ,..:)JM. aU
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~9 .S-D
$ .50
$ ~~. O/'J.-
Building Official
Date
paid.so. t/l)
Dat~ z,.Z. (;r
This 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
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
IJ
Refpt NO.5(, S +7
BJ./- /
CI