HomeMy WebLinkAboutHeating 07-0571
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7/90
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED ~j~
/
1t;/weP,-4.J6J J c:;; ~
TIME
CONTR.
PERMIT NO.
07 o~ 7/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
11 k J /ZeJ:7t/l'e6/'1&,I\./f
f
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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XWORK SATISFACT~~Y, .PROCEEl
o CORRECT ~ AND PROCEED
o CORREyr'WO'<ffl FOR REINSPECTION BEFORE COVERING
Inspector:\ ) U ! Owner!Contr:
-....--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
:~.\\ C . (C'(
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
File
City
Applicant
PERMIT NO. 07.0511
(Please type or print and si~ at bottom)
ADDRESS
\ \ \ C,\ u l,,-~ :\ ~E_ ,_\",~ "',,, '-':,
c~,
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2S~ 3)0. C '2- .0
OWNER :-:)
(Name) \ '" \ c....\"<L_ ",~A
\)~ \ \ n c..\ \
(Phone) C\~):J. J{l. W,=j i it \
(Address) ~c....... ,y,E:.._
C'--':.'S
c.......\-;,c.. '..J E~
APPLICANT
(Name) l~ \\', c"...~'.~ \\\E".<..:....\"'c~.,'" c ...\
(Phone) i,-k)/ '-i S~} - .) '\ \5
(Address)
-),C,.\-oC~ >('2-'\\\~\\,,-=-c- '\......,.\~, ?-AV.C...." _)~.~/_~.~
(Address) (City) (Zip Code)
\ \ (Phone) (;..l) I L{1:);~ - ~\,\,~
..;O;g:~'rLL; DATE _('-._'~C' ('(
AP [CANT PLk1S~. COMPLETE BELOW
DNEW CONSTRUCTION RREPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
_PLICANT SIGNATURE
'r:ontact Person)
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D. Mechanical
glAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
C :bj~.)U
Estimated Cost $
Building Permit #
REA IING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ :< q, Sc
$ .50
$ L.{ c-: I Co C,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid 40 0 lJ
I Date I. '3 ,i.n
Recett NO.; )'vfL-
I By 'J ,