HomeMy WebLinkAboutBuilding Permit 09-0181
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~
Spr-UCL V
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
g,.pLUMBING FINAL
p-.MECH FINAL
COMMENTS:
1()r~
d- fA C_
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"'-' \ (/ ~ \j '-1
DATE TIME
S/ft)/lJc,
7 ,t!:!(
9 - I B(
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/I.
( (
I I.f)
't( "'L
~RK SATISFACTORY. PROCEED
o CORREr!fjT ION AND PROCEED
o CORRE . CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44 /.9aHtFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
. --'
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
f,Z~_Or
(Please type or print and si2ll at bottom)
ADDRESS
3253 Spr,-^-GL t(-~\ ~w
I. PlOk
2, 'Green
3. Yellow
~!~ I PERMIT NO. Oq. Dial
Applicant U
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER '" . ~ . l
(Name) .\-J eY\ t::) ~ U ~..rl\!L. So (\
(Address) 32'5 CO :5pru...c...L. I r~ \ Sw
(Phone) tal 2 - /30 -, 7, ~ ~
~~~~~ANT Pro ,,1-0 t+~o...-f,>U;' ~ -It C- (Phone) q~ 2 - 8'35 - I -, {I
(Address) /'30 l \~~\f'\~'1 1tv~ S EcxJi\.Cl-- SS'139
(A~ss) (City) (Zip Code)
(Contact Person) W~olrL Se._ol O\.A.)~c....L. (Phone) ~
APPLICANT SIGNATURE ~~t..J.- DATE t...j /2-/ / O~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ENtu'\.-t 3\'5 AA" D3-60{ 0 FUEL Gu ~S
FLUE SIZE -b ......... REMN OPENINGS INPUT /6,600 OUTPUTSb) 6 DO
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
~Mechanical
ir Conditioning
Vent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
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.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $ b ~tJO .60
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ '-1'1. So
$ .50
$ Sc>. 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
Paid 50.00
Date+.28,09
I Re~tNo.5774b j
I sr.
o
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372