HomeMy WebLinkAboutHeating 08-0336
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~514
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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DATE TIME
SCHEDULED
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CONTR.
PERMIT NO.
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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-'WORK SATISFACTORY, PROCEED
/0 CORRECT ACTIO~AN ROCEED
o CORRECT .W~", A FOR REINSPECTION BEFORE COVERING
Inspector: 1/ tI # Owner/Contr:
, .
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
5"0. <()
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
]. Pink File PE MIT NO ~
2. Green City R . 06 _ 033
3. Yellow Applicant ..
(Please type or print and sbtn at bottom)
ADDRESS
~59tf Il~t.fJc*!. BEAcH 7)J(.. NF
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
hd;J c"uis
G 5'"9 'I #~~ Bc;;e 6 ~ .-rC rI bt:..
(Phone) 9,S.J - 1../?6 -f.{t;1./ I
(Address)
NE
APPLICANT, 1/ . I.
(Name) ON€" I:rotUL ~t4-Tlil.K; ~ /4-112-
I .:
(Address) /9tJLf 1A.~J:.IlIu.:aV 5 t-
, " - (Address)
(Contact Person) 7). K E tV 4.:kL L
-10 .j{~.,{dC/,f/
(Phone) faSl-l./~ 7- Y /77
/JP/ S7'"I/j1.-S ;t) tJ 55'033
(City) (Zip Code)
APPLICANT SIGNATURE
. (Phone) ~ S-I.:::!f 3 (- Y.Y ~O jc. L!f
DATE S li3/0~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ,&J REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL G 60..:) ,,-l.L A-t--f FUEL N G
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT '70, L)("JO
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
~Air Conditioning
DVent. 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
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
L/9. S"o
.50
So rOO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
Pai~, CILJ
I Datet-o ,,< Or/
ROef} No. ~",Ol Z-
BZ
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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