HomeMy WebLinkAboutBUILDING PERMIT 16-1458 DATE TIME
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
/ 1--.L.,.--1-f-------1 _
PERMIT NO. 6, •
PHONE NO. ❑ GRApIFILLING
❑ PLUMBING RI ❑ COMRLAINT
❑ FOOTING 0 MECH RI 0 COMPLAIN RI
❑ FRAMING N 0 WATER HOOKUP FIREPLACE FINAL
❑ FRAMING 0 SEWER HOOKUP ---Id GASLINEIREPLA AIR AL
❑ INSULATIONA ❑ PLUMBING FINAL 0
❑ SITE
❑ MECH FINAL
❑ SITE INSPECTION
COMMENTS: \C-- r_ y
-WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORREC ORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Cont
r.Inspector:
CALL 4479850 FOR THE NEXT INSPECTION 24 HOURS INADVANCE.& N E
T
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
,$SNOII
d4PRIO
ti CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
l�'NBSO�� IN / 7j8- 1);$
/� PERMIT NO./‘. /Vsg-
(Please type or print and sign at bottom) 3.Yellow Applicant
ADDRESS ZONING(office use)
S3— 6 F,Via(AM sVA) tZtSb
LEGAL DESCRIPTION(office use only)
LOT (BLOCK ADDITION 14//4-9ii e N-1 e [ A-dd ti) PID 7,5- f f,q-00 I 0
OWNER R ^ 'I
(Name) 'v ` �'� (Phone) 6('I2+ '"J '0 0 g
(Address) Swwe—
(Name) IN tri
CiAll Ve,pia u., (Phone) qS 2+ 1 77 C-14 16
(Address) 6624 Cf C, 1,L A-- (/V rpt t to 1.Gam- 6f 31
(Address) (City)
(ZP Code)
(Contact Person) �11 I &4' t1..e-rent (Phone) 01 S2 11'1 LI II l'
APPLICANT SIGNATURE DATE 1,2* 12.1( 1 (0
APPLICANT PLEASE COMPLETE BELOW •
ONEW CONSTRUCTION 0 REPLACEMENT ,aALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWAir ply 0Steam PLEASE NOTE: Air Conditioner
]Gravity Units and Fireplaces Cannot Encroach
Hot Water
into Required Side Yard Setbacks.
❑Mechanical ❑Radiation
DAir Conditioning 0 Special Devices Fireplaces with Box Additions or
Went System 0 Other Devices Cantilevers to the Outside of Buildings
� • Require a Building Permit.
FIREPLACE MAKE AND MODEL "Ut.l VAJ R14 t
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum -
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Estimated Cost$ ' (7 O 0 "D v Building Permit #
HEATING PERMIT FEE $ At 41.4 0
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 1,0' 4
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
,..7,73—y
Building OfficialDate Dal
2`-30,I (47 By3
8._
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372