HomeMy WebLinkAboutHeating 08-0389
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~2GL~
ADDRESS
41r~ /(~() :M .s'1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
k- 3$1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o El-UMBING RI
~ECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~
/' / J, n 1\
( C-/()X (r(; )
.~
. -------
1 WORK SATISFACTORY, PROCEED
'0 CORRECT ACTION AND P~EED
o CORRECT Won. CA1XFQt{ REINSPECTION BEFORE COVERING
Inspector: II 11'''/ Owner/Contr:
II f'
CALL 447-9~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~e~n ~!~ I PERMIT NO.8 - 38a
3 Yello\\ Applicant (
(Please type or print and si~n at bottom)
ADDRESS
+:Iq5 I/t;O(i^ }fA. $t
. ZONING (office use)
f tZi!YL la.te, fW A) 13f5 3'1 z
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) I"JJ ""'-
(Address) I <6&'5
eL,~
(p. W~ 61ul,
(phone) q57-~ Z9J -'1lf1PJ
~ ~ I liViD 56301/
APPLICAN.'r 1'''-'
(Name) H1'hH- KPM) ~11tJ.b f &OU.tJb (Phone) '&3-4-71- 33::1;;;/
, ! .
(Address) lP~5D WUJ~ +u1J f!l,-~ AJ ~ f1IlJJ b0373
(Address) (City) (Zip Code)
(Contact Person) 120 G/lU :JDM~v (phone) <-rIfl~'-lf11- 33-31
APPLICANTSIGNArortE"'~~V'- DATE lP{17/Ct
. .- APPLICANT Pil:ASE COMPLETE BELOW
[]NEW CONSTRUCTION M REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL ((klZA - A D~'3t .DC( 1?J f- FUEL 0 [1
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWann Air Plants
DGravity
'gJ. Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D 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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Industrial, Commercial & Multi-Family
$49.50
$49.50
Estimated Cost $ '1502...~ Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
1 tOTAL PERMIT FEE
(Office Use <)ri}Yl , I I ,
This tfjlirJ~i ~errtlSY 0 Building Perm; wtfen Approved
f\a{jJ '- ~ V '" (p /17 /O~
Buil in!! Official ""'-' D~te
$
$
$
'1 S_o .~.
.. .50
1 <::' I 5 -:;
Paid 7 C;. ::; ~
Date ~/;7 /CId
Receipt NO.5<:::cI)(
By
f2-t)ft
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372