HomeMy WebLinkAboutBuilding 02-0785 (2)
Date Rec'd
(Please type or or.r:, and si2;I1 at bocrom)
ADDRESS
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~. ~',ne~n ~:~ I PER1\1IT NO. --, _ ---'7('/ r-I
J. Y.:l\ow Applicant . Q. (0"::::>,
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
Dr
(Phone) 70S 2.- .;2 2(,.,- be tz. z
e~'VCu'A
V
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OWNER
(Name)
Mc.:-ll^
~ J IS F-c:.-~u.s ~...,..<..
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Vl..~;:;'""",
',M ':;"""0,
APPLICANT
(Name)
LJ ~c..r -::.....\( ~,r( f i..c.<..
j(..,/51 M ......^- ~
,
J (Address)
/--Lv.^-
(Phone)
9S2- L;1..(~-'SbZ.:;
(Address)
Pr-;r J-- .4-
(City)
55 .> 7 c..
(Zip Code)
(Contact Person)
(Phone) 9 S 2 - ~ 'i.:; - 5<'" ZO
DATE s-- -4 G 'z.
APPLICAl 'T PLEASE COMPLETE BELOW
3'!EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIm,iS
FURNACE MAKE AND MODEL FUEL
APPLICANT SIGNATURE
FLUE SIZE
RETURJ"i OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hal Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
OWarm Air Plams
OGravity i
o Mechanical :;).,v~ ~ ~ t-f ...'-'-
OAir Conditioning. "- ~ I <:::v<:" \
OVent. System J...cL..J'
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE l\'lAKE AND MODEL
f'\ "'-) .;.., -h c.. .
{)v 3b C~v
FEE SCHEDliLE
Industrial. Ct)mrT,~~cial & I\!ulti-Famil:
10-;, at' job cost
S3950 minimum
S99SI)
SM50
Resiccntial. Gas Fireplace
:539.50
ReSidential. f-ka,;r.g & A'C (;\ew Cons:r..;ction)
Resluentl2.[. I-!~at:r,g Only (i'icw Constr~.:tion)
Reside~.,i:ll. Additions & Altaations
Residential. AC Only
S39.S0
S39.50
Estimat~d Cost S
Builcing Permit "
HEA TIl\G PER\IIT FEE
STATE SLJRCH.-\RGE
TOTAL PER.:VIIT FEE
s
s
s
.50
(Office l'se Onh)
This Application Becomes Your Building Permit When Approved
Pald
Receipt ~o.
Date
By
Buildi n<; Official
Date
24 hour notice for all inspections (952) 44--9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -31l 0 G'oc.)~ Qrr
NATURE OF WORK JJ~\V
USE OF BUILDING S~\)
PERMIT NO. 02-01rtJS DATE ISSUED G.-{8-d?
CONTRACTOR -Mu~,^ O'~d'v\. ~:5 PHONE qS;;)-~sC -88(,1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING \Yv ~ \,...\.-. .
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I Sk~ ~td~ I dr. 9/~kz.-1
FINALS
GRADING (Prior to Sodding)
BUILDING r(2. (),""t:i1P f:/ I (1.3 2 '3
ELECTRICAL
UMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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, car~. shail I:)e placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850