HomeMy WebLinkAboutHeating 07-0903
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
II LC () 6~..wt oft
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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 PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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DATE TIME
7 -It' ..- C/D
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND P~CEED
o CORRECT WORK, CAlL'FoR REINSPECTION BEFORE COVERING
Inspector: JI r I Owner/Contr:
f ,
.CALL 447-9850 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
(Please type or print and si~n at bottom)
ADDRESS
l. Pink
2. Green
3. Ycllov..'
File
City
Applicant
I PERMIT NO. 07. D9 031
..
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
b~~ ~-7'
/7.2(,0 ~~'-
(Phone)9'5".q2- S/~/- c2ff3j
(Address)
~~
APPLICAN'Y:/. : -
(Name) f..A.A/l.- 7Jl~l.A ~~
(Address) 6 9'/5- /4~ ._,sf _.~)".
(Address)
(Contactperson)Xa-iW J.-' / _
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APPLICANT SIGNATURE~~ ~
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(Phone) C/~ 2 - 0/- o73t?--
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" (City) t1 (Zip Code)"
. (Phone) 9~;;J --J!-r 1- 5"7'..5dJ-
DATE ff/ph 7
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [M1(EPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL4(~ -tL#/'tP-~7M;Y.e"/Z FUEL#d 4
FLUE SIZE {If RETURN OPENINGS INPUT iZq-t>CJO OUTPUT ~oa::;
TYPE OF SYSTEM HEATING OR POWER PLANT
gW"arm Air Plants
OGravity
o Mechanical
[JAir Conditioning
OVent. 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
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
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HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
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Buildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372