HomeMy WebLinkAboutHeating 08-0378
DATE TIME
CITY OF PRIOR LAKE U/21b(f-
INSPECTION NOTICE SCHEDULED
i- I
ADDRESS 15 aes ~. WoJ1y
(J
OWNER CONTR.
PHONE NO. PERMIT NO. .a. -' ~~
.......
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION Ii MECH FINAL A C- D
COMMENTS:
_ l ,^ n
('.,\~ ,~.Q ~ .rC~
- 'JV. - I
~ORK SATISFACTORY, PROCEED
o CORREC~TNANDPROCEED
o CORREclT wd [~' LL FOR REINSPECTION BEFORE COVERING
Inspector: I / Owner!Contr:
~All\IH7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1, Pink
2, Green
3. Yellow
File
City
Applicant
I PERMIT NO. 08. o37tJ I
I
ZONING (office use)
\t'lease type or print and si?;n at bottom)
ADDRESS
f 5 d-~3
EJfj~r- Q;r AJE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
! -$1AJelJ STark (PhOne)q<;"J-- W7-<MJ;
15d-f3 f:i(~ikr CrN6
(Address)
APPLICANT
(Name)
5T ANDARD HtA TlNG & AIH GUNUllIUNINli
(Address) 410 WEST LAKE STREET
MI NNI:A~UL1~cM~~'+Ul:H~~U~
k 612.824.2656
(Contact Person) , ~,;;1- r:.,~ ~ (Phone)
APPLICANT SIGNATURE aO~_ ,--~.J!\~ DATE
-APPLICA~PLEA~E COMPLETE BELOW
Ak..- DNEW CaNST ucnON ~REPLACEMENT D AL TERA nONS / /:.'
FURy"CE MAKE AND MODEL ~ f / ~ FUEL 'eJ~1" <:.-
FLUE SIZE RETURN INGS ~ l - - INPUT !/O;-5<<:> OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(City)
(Zip Code)
/ / ~
~/(jf 6{
DWarm Air Plants
o Gravity
o Mechanical
~ir Conditioning
Th ent. System
o Steam
o Hot Water
o Radiation
o 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 New Fees Effective January 8, 2008 lace
Residential Plmbg. 49.50 + .50 = $50.00
Residential, Heating & Ale (New Construction) Residential Htg. 49.50 + .50 = $50.00 & Alterations
Residential, Heating Only (New Construction)
Com'l Heating 1% of job cost, $50 min.
E. dC <l Com'IPlmbgl%ofjobcost,$50min.
stlmate ost .p _
$39.50
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
<f9~5o
.50
~
..- ffice Use Only)
Duildin!! Official
Date
Paid.5Z) _
Dat~ .Ilr ())(
Rec1 No. a 0:1 ~
B~.
U
Ihis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372