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
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t~vP. ~.
ZONING (offiCL' lISL') :
LEGAL DESCRIPTION ("trice use only)
LOT
BLOCK
ADDIT10N
PID
OWNER
(Name)
1< i L ~\
J (p~~, to
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)QV'\LAVf>~' r'i01(1~\('o
(Phone) 9..5;) -_xSS -<j-c3 5Q
(Address)
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/-.,'-) B'7;}-
(Contact Person)
I.rv\
(Address)
~h,)lY'.e L 4
~/ /24/
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_~u ~-.--- ___u --~--~--. --"~-------'------' -----~.~-.-------- --.---- '1
HhVy,e_ _ (Phone) C)5~ -LjC) J_- 9c)_ZLcL_
~(('t n VI I VYI 1\)
(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