HomeMy WebLinkAboutBuilding Permit 03-1302
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS t :3~ ') {
DATE TIME
SCHEDULED LlJj~3
t~~~4 (~~
CONTR.
OWNER
PERMIT NO.
3, LZ, 02-
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
A
A
o EXIGRAOIFILLING
o COMPLAINT
)i!fFIREPLACE RI 7-
o FIREPLACE FINAL
~~;E~~T Z-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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!
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. -zs: OJ
l;';, ~!~;'M' I PERMIT NO'Q5-80z..1
I ~~a;~~~;'andsion~n .
I ~3 n,~
ZONING (office use)
Cl~ ~~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDz5: ()72-. O(JS: 0
OWNE~
(Name)
(Address)
~ 06 CLh
\~~~
~
(Phone) q5>2.-- %?- \Lf"bQ
~t:
(Address)
FIRSIOE HEARTH & HOME
3850 II HIli 13
BURNSV IllE MN 55337
1I C #Z U u ~.lIdWeiJs)
!HONE 952-890-0758
(Phone)
APPLICANT
(Name)
(Contact Person)
J--1.tI,:,:,~ of (City)
~?k_ (Phone)
(Zip Code)
.APPLICANT SIGNATURE
DATE
TYPE OF SYSTEM
PLETE BELOW
o REPLACEMENT 0 AL TERA TIONS
FUEL
INPUT OUTPUT
HEATING OR POWER PLANT
FLUE SIZE
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
'7 ~a.t-~
o
Industrial, Commercial & Multi-Family
FEE SCHEDULE
t % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit # ():1 -1J'b z.-.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
?j1.70
.50
J.{iLQV
lice Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid 40 uz)
Dat"1 zt".O :>
Receipt No.
~
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
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