HomeMy WebLinkAboutBuilding Permit 09-0219
DATE TIME
CITY OF PRIOR LAKE fJ-Mo 7
INSPECTION NOTICE SCHEDULED
ADDRESS l'...{ 4 tJ I ~dt-.L ~,
OWNER CONTR.
PHONE NO. PERMIT NO. 9 - 2/ 'i
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 o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION 1< MECH FINAL 0
COMMENTS: .fii h ~JJ../
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A WORK SATISFACTORY. PROCEED
/ 0 CORREC~ON AND PROCEED
o CORRElT wofa. CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ 11l-f/ OWner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5~/f () 7
1. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO.09 0 ZldJ
/
ZONING (office use)
(Please type or print and sis;:n at bottom)
ADDRESS
1'1'1/7
Stio/?-€ L~";e:
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
13~t.
CA~&t:'-<-
,
(Phone) 6?nss-6- 'I, ~ S"
(Address)
APPLICAN.1
(Name) V R.tuv EAJ 'S
(Address) .fJ i 0 , /)(j )C
~~;;,?:... ( A-/C
'I~k
iN!..
(Phone) 95::J- ~ '15 D?' i 0
~.
~ jQ v I"l-v {/ 5 s-3 7'g
(City) (Zip Code)
(Phone) I.:., I 2 :] (J I /11 j--
DATE S--I(.-()'7
(Address)
(Contact Person) 73,'CA-O Plt-a'-.J e-itJ'
APPLICANT SIGN~ TURE t&..Lt~! Af}~--1'~
APPLICANT PLEASE COMPLETE BELOW
C-- ~ DNEW CONS!RU. CTION )07REPLACEMENT D ALTERATIONS
FURNACE MA AND MODEL ~ II ()J?1 A-A/ FUEL N,(J.{:r-
,
-rUt;:: u:~ RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
C~J
DWann Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. 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
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
4'/, r7J
.50
SO, r.r1J
()
. RecrNO'S7781
;;fl.
U
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid ~O i t/l.J
Buildinl!: Official
DateS.11. d 7
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Date