HomeMy WebLinkAboutBuilding 07-0201
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FRarl
FA>< tm. : 6514637835
fla,:!. 04 2007 04: 36Pf1 Pi
Date Rcc'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~~ 5"4-0"1
~_.__._.__.__..
LEGAL DESCRIPTION (office us/: only)
LOT BLOCK ADDITION
.-",---'-'"
\ 01., fil. ~'ERM' IT NO 1%611
1 Gdd (:1<"( .- .
l Vdl'lW A~~IJ;~.,nl ,_. J
~;;~SS";" =d'!H!'!!!>,rt,mL-_ - -- --- -------] lZONING ,;... ." ]
1_...~~6.c&~~1n,,--- .---.'-"--' .-'
._--_.-_..._---'-----'--\
PID . ___I
-_...- ---.--'--' .,-......---"
~~=~{{ ~~_..'- _- -, . '-.,- -=-~=-~~___--'=J
I APPLICANT ----.---------- ---
(NameL_~:~~:k....~I,^~~ 6.. ~e~(j_~bL-(PhOne) ..,-.-
(Address) J.,~._c~Jdgj~ ~"'~-_. .---
(Add:ess) (City) (Zip Code)
(Contact Person) ~.,.~.-1_.D~ ~_ . ..__,_.- (Phone) _.' Lb \.Lt la3 '13~ ~
APPLlCANTSTqNATURE ~M~~.~, ~_ DATE _,~~-01
L'-..
[~--~
APPLICANT PLEASE COMPLETE BELO'V
QnaniitY J ---'i)pe of fidnr. ---iQ.ant;ty --Typ~ ofF;"..r. -- --
- ,__ -~~:~~~;i'h or without ,hower T__ ~:.~~;il'~lcr
__~I?Or Drain .-=--=-~-=-_. ~=:-. Water Softncr:-....---
Lavatory (Bathroom Sink) Suind Pipe (WashlngMachin~)
.--' Laundry'Tray(1 or 2 compartment sink'-- -- ScwageE]ector .-.
Sho~;':erStafi-'- .-.-,'-' Back now A~~embly -.--.-.----' ...
Sinks' ...---..,-- Backflow'Asscmbly Test ---.
'f~ar Sink --' Lt1wn Sprinkler .-. ...--
.~aterC,loset(Torret)--==~-' ..--..-- Other ..- - ..-'-'
FEE SCHEDULE
InduSlrin\. Commercial & Multi-family 1% of job cost with a $39,50 minimum R~~idcntiil.l, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Eslimated Cost $
.,...-.........-..,..-
Building Permit # _--- .
(Office tJ,c Only)
PAID ,,\11TH
BUiLDING PERMIT
ThI, AP::'::d~:;::',:::_m" v.."' BU:ding p..mi~:h.n AP.r.v~ M~: ;11~' i-t::WPt No _. . ]
24 hour 'lotlce fur allln.sp~ctlon~ (952~447-9115U, fa~ (9S1) 447-4245
16100 J::llgl~ Creek ^ve., S.F:., PrCofLlIke. \17'1 55J72-1714
PLUMBING PERMIT FEE
5T A TE SURCHARGE
TOT AL PERMIT FEE
$__.
$-_..~
$
....--.-"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
; ~;n ~~~ \ PERMIT NO.
3. Yellow Applicant .
5-10 u7
01. o~oL
ZONING (office
use)
ADDRESS
cJ~B/
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
APPLICANT /'
(Name) &0/1'1-(0 II€. d
IJ /R.
(Phone) 0 <5'1 - <V~O - (p 00>;;..
APPLICANT SIGNATURE
APPLICAN
G\NEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM
':'Ae,M''n ~,v ,5:500)
(City) (Zip Code)
(Phone) ~61- L/6o - 6~;;;;:). ~x.f ~ /
DATE S - 3.-{)
PLEASE COMPLETE BELOW
o REPLACEMENT 0 AL TERA TIONS
FUEL
---
(Address)
;2/;2/0
(Contact Person)
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
[J...ti'ther Devices
OUTPUT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbaeks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family 1 % of job ~~s~ SCH~~i~;~~:~~~~~~~ePlac~~ $39.50
$39.50 minimum \.,- ----
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
PAID WITH
Estimated Cost $ /75() Building Permit # BUILDING PJ:RMIT
HEATING PERMIT FEE $ 3 CJ ' '5"0 ....
STATE SURCHARGE $ .50
TOT AL PERMIT FEE $ "0.00
P~
Date5. I (). {I
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPAR1'MENT OF
BUILDING AND INSPECTION
SITE ADDRESS 2.681 Bo 6U-1/ /fffilL-
NATURE OF WORK /265 r1/1C--
USE OF BUILDING Lo IAI t;7L U5Vt;:;'L--
PERMIT NO. 07.02--0/ DATE ISSUED 1-. f2-.0j
CONTRACTOR ~~rP- PHONE t19J5 -51SCf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEtOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
~ ~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGN
-
~
BUILDING
ELECTRICAL
PLUMBING
HEATING
FINALS
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850