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HomeMy WebLinkAboutBuilding Permit 09-0124 DATE TIME CITY OF PRIOR LAKE ~ INSPECTION NOTICE SCHEDULED ~fJw/ ADDRESS I (n ~ If" - . - . OWNER CONTR. PHONE NO. PERMIT NO. r - (~V , o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP ,..B"1=IREPLACE FINAL o FINAL o PLUMBING FINAL "P-'GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: ^ /"\ I _\ ") { \ ( ) \^~____ ~~ ~ {\..o -r .--,. ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRE~C' CALL FOR REINSPECTION BEFORE COVERING Inspector~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTl CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rcc'd 3 3r. 01 J, PIIlt.; I'llI.' ~, {ir..:ell {'I!\ "I )".:110\1 !\ppIILdlll PERMITNO:09;-o;~_jJ (Please type or print and sign at bottom) ADDRESS n ~ ~J{ t~vP. ~. ZONING (offiCL' lISL') : LEGAL DESCRIPTION ("trice use only) LOT BLOCK ADDIT10N PID OWNER (Name) 1< i L ~\ J (p~~, to ;-~-:~-U---R~~) ~~-~-=-~ --~---------- )QV'\LAVf>~' r'i01(1~\('o (Phone) 9..5;) -_xSS -<j-c3 5Q (Address) rY\ l\. " /-.,'-) B'7;}- (Contact Person) I.rv\ (Address) ~h,)lY'.e L 4 ~/ /24/ t> - _~u ~-.--- ___u --~--~--. --"~-------'------' -----~.~-.-------- --.---- '1 HhVy,e_ _ (Phone) C)5~ -LjC) J_- 9c)_ZLcL_ ~(('t n VI I VYI 1\) (City) (Zip Code) (Phone) _q,C"Jd - L-tq~q~ 7G ~____ , \./ - 3/ 30 /o~__ C:C 3t::: -... ..., J~ ."Jd-. APPLICANT/1 \ \ \ I (Name) (~Im.l)'lrv-t HP()V~\i\ ..r (Address) Ion flJO<<1d 0 \Jr. APPLICANT SIGNA TURE DATE DNEW' i FURNACE MAKE AND MODEL LICANT PLEASE COMPLETE BELOW STRUCTION 0 REPLACEMENT ~ ALTERATIONS FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM REA TING OR POWER PLANT DWanll Air Plants D(ir~lvlt) ~Mcchantcal DAir Conditioning OVcnl Systclll ~ D Stcam o Hot Watcr D Radiation D Special Devlccs __.~_____ o Other Devices PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot EncnJ:lch into Required Side Yard Setbacks, Fireplaces with Box Additions or Cantilevers to the Outside of Buildings \ \ ^~ G \Require a Building Permit. .\-tt'.t~ ....Q___ _'mn_ . .FI~~J>[_~i'\...C:~_~ i\K E A ~.Q_~ ()...?E!.]'Lf\~A...,...l=& f-:-Jjum Industrial, Commcrcial & Multi-Family FEE SCHEDULE I 'Yo of job cost Rcsidential, Gas Fireplace $49.50 minimum $149.50 $64.50 Residential, Additions & Alterations Residential, AC Only ~4950 ../ $49.50 $4950 Rcsidcnti,d, Hcating & Ale (Ncw Construction) Rl'sllkntial, I kating Only (Ncw Construction) Estimated Cost $ Building Permit # HEATING PERMIT FEE ST A TE SURCHARGE TOTAL PERMIT FEE $ $ $ L{!l~ S Q_ ,SO 50. 01:L. (Oftlee Use Only) This Application Becomes Your Building Permit When Approved Pai~ 0 . 0-0 Rec~llS 7 L 1Co Dat~ 3 q 6 I Buildin~ Oflicial Date .>. I. d L__ ..' ________.__. 24 'lOllI' notice for all inspections (952) 447-9850, fax (952) 447-42~5 4646 Dakota Street S.E" Prior Lake, Minnesota 55372