HomeMy WebLinkAboutHeating 07-0848
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7,t>4
ADDRESS
1L/8'tC ~f
12<4
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7-~~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
O~MBING FINAL
~ECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Vf~~L FOR REINSPECTION BEFORE COVERING
Inspector: 1 ry Owner/Contr:
I ,
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Phone)
DATE /'/.50/07
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL $ /ZLtti.it f .3 :rz.. ~~Ol z....o FUEL P~.
FLUE SIZE RETURN O/ENINGS INPUT / LA I ,".J.:> OUTPUT I c:)u, CO 0
I
HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
(Please type or print and sign at bottom)
ADDRESS
I cj J g /P Lore; ;(alA. J J: f.
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
/?J ~ s fa cf2
Je+~
(Address) / Y i J' ~ LtJre.../
/20~J2 J:' (
APPLICANT A-II /J, .r
(Name) ./,'171y Ij1 A?P, ~ c .
(Address) I Z Z5..:J /1/, c....o/ '; ~ ~
s
(Address)
(Contact Person) J C'" ~
.PPLICANT SIGNATURE / /~
./
TYPE OF SYSTEM
DWarm Air Plants
DGravity
. l[Mechanical
~ 2rAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ /.3 t "'" Cl
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Date Rec'd
; ~;e~n ~:;y I PERMIT NO. 67. 08/JaJ
3. Yellow Apphcanl "'1"'{...1
ZONING (office
use)
PID
(Phone)
~ I dY<:.. La /c,. /?!,..) J S .5 7 L.
(Phone) 1J'2- 7 Y" - Sl...-oo
A ;eJJ"S IA '/ (P
(City) ,
/PJ/V SS~..i7
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Building Permit #
$ ..1 Y. SO
$ .50
$ qo-
'Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Paid 40 ,en)
Date q J 0 A>1
Reflpt No.?t~ l- r:;
3-