HomeMy WebLinkAboutHTG 08-0753
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LJ',--05 p~{;d'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
;4oz (
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
!'MECH FINAL
COMMENTS:
&Ai2Abe-
TIME
08 -7~3
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
II
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)i:tfORK SA T!SFACTORY. ,PROCEED
o CORRECT Af2TI "'0 PROCEED
o CORRECT WO K, A _I,' '?R REINSPECTION BEFORE COVERING
Inspector: . IX Owner/Contr:
I v -
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
IJiSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING,..lKEPLACE PERMIT
Date Rec'd
i=. ~~icanl I PERMIT NO. Oe. 07531
(Please tvDe or IJriDt and sip at bottom)
Au.....nESS ZONING (office use)
'LJO'~Ll 11\) dc/s.J{'t~
LEGAL DESCRu uON (office use only)
LOT BLOCK
ADDmON
Pill
~= \jo t1Jd l\JU~Vl
(Address) lWn~Jr \A Ildl~1AHI)
~~~~!A l.-l-L~l +!'~1 t. ])l~ Vl L<~l
(Address) let 11 ( p l ) \A \ AC'jIftf} I A) v), Kc1.
. (Address) -
(Contact Person) ...<;ll~ ~=;r}J,\~ {,V)
APPLICANT SIGNATURE -~l[/ OO,~J5P./
APPLICANT PLEASE COMPLETE BELQW
[]NEW CONSTRUCTION 0 REP~AC;MENT ,;WALTERATIONS
FURNACE MAKE AND MODE~ UYjtillL1LU21.OC~J1A{I\. I r ..~ ~\1\7ll od~ EU F~L
FLUE SIZE RE~ ~ C+VlI)y} OUTPUT
TYPE OF SYSTEM . - , " HEATING OR POWER PLANT
11 \11 I S~ 1\ PLEASE NOTE: Air Conditioner
DW~ Air Plants -11IUl'~ 1"1/11' 1~1~ Steam Units and Fireplaces Cannot Encroacb
iGravlty . . I L ,lI.\.I 'G Hot Water
into Required Side Yard Setbacks.
Mechanical ~ t.;. rJ' 0 Radiation Fi I wi b Bo Additi
.oAir Conditioning ~ \.)" I~ V wtu 0 Special Dt:vices rep aces t x ons or
.~ent. System -1 U'-' /'~ 0 Other DeVIces Cantilevers to tbe Outside of Buildings
'-5\ ~ Require a Building Permit.
FIREPLACE MAKE AND MODEL
(phone) Wffi-CL9)1-W-d~
(phone) ct0~ - LJ.JO . .'61A
p. L-. h~--:3/~
(City) (Zip Code)
(phone) 0 X+. i~~~
DATE -L1-~-cP)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
Tbis Application Becomes Your Building Permit When Approved
Bulldl11ll Official
Date
$49.50
$49.50
$49.50
Building Permit #
$ 1lidfl. "10
$ .50
$ tt, ~).CO
/J
Receffo. oz,13S?
BY(. I
I
Paid SO. a ()
Date~ 2Z... 0 e
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372