HomeMy WebLinkAboutBuilding 08-0114
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
TIME
DATE
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ADDRESS
Gb~ ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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CONTR.
PERMIT NO.
X-I LC(- /1((
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,
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1-/47- qJ'~2...
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
",CORRECT WO.!?'. ~R REINSPECTION BEFORE COVERING
Inspector: Y if / Owner/Contr:
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec' d
.3,2.0,08
;: ~;;~n ~:~y PERMIT NO. 08, 0 1/4-
3. Y"llow Applicant
(Please type or print and siltJl at b" .." . _ )
ADDRESS
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
O~R . C
(Name) (l Pf'iC:_C I C[')D, 'i Ceo
(Address) b;);::)J~ V"Y'\C ~ r \~ C~ _ =----:/C.--
(Phone) q,~ - L\Lb-j-4ctLL~
APPLICANT
(Name) lOJcl1 L~\er0 ~"i ~~D
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(Address) V>--10l W. HU?----~.
(Address)
(Contact Person) CJ\~
APPLICANT SIGNATURE ~lltt~cJ) ("--.....
1) ,\~' (Phone) q~:0-~Lj~\ -7CS1Q
~ \Cip ~"'l-:)~. ~ U i l[>.ct 55 I~L/
, ) (City) '---.J (Zip Code)
qCi::2 --LbJ - 709 q
O~12-()K
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION !5?1REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL0Cu rii f- c~9... (-r\\JCii .(1 FUEL ~U (t..J
FLUE SIZE 0.) if RETURN OPENINGS INPUT It[,-;--\ cx:D OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
D9ravity 0 Hot Water into Required Side Yard Setbacks.
\riytechanical 0 Radiation
BAir Conditioning 0 Special Devices FCire~llaces withhBoOx Ad~ditiofnsBo~ld'
DVent. System 0 Other Devices anti evers to t e utsl eo UI lOgs
~ ".. ,Require a Building Permit.
-i'n'<.nrLf\\...cMAKE AND MODELCCU' r IL1::;LLi ~L.A J-t~ -~ _.~ J
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $ " '7 C3:S~
I
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
LjQ. I~---O
.50
~OOO
BuildiDl! Official
Date
Paid 6b .au
Date) .W lft)
r
R ,iPtNO. 5S)~1
By
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372