HomeMy WebLinkAboutHEATING 08-0718
DATE TIME
erN OF PRIOR LAKE tjJ1 I
INSPECTION NOTICE SCHEOU\.EO {'Off&;
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"OORESS ~Sl G.___J-k-t.....- ~
CONTR.
oWNER
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PERMIT NO. Y -- 71 V
o PLUMBING RI
o MECH RI
o W~ TER HOOKUP
o SEWER HOOKUP
~,::UMBING FIN~L
,P-"',ECH FIN~L
o EXlGAAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FIN~L
o G~SLlNE MR TST
o
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PHONE NO.
o FOOTING
o FOUND~ TION
o FAAMING
o INSU~TION
o FIN~L
o SITE INSPECTION
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COMMENTS:
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~J.- 0- r (
U~~, t::rl: V-
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i WORK S" T1SF"elORY, PROCEED
o CORREf)T CTION ~ND PROCEED
o CORRE T . RK. CM.1. FOR REINSPEellON BEFORE COVERING
Inspector ,- owner/contr: . -
C"I.f.4\.9850 FOR THE NEXT INSPECTION" HOURS IN "OV"NCE.
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CODE REQUIREMENTS ARE FOR yOUR PERSONAL HEALTH A SAFETY'
/l'ISNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and si~n at bottom)
ADDRESS /1-
foS7C, t'1Of'bor
&ach.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
l\J at= ..w I.s~e\
b,C,i" tb~("' &Qrh
(Address)
APPLICANT
(Name)
STANDARD HEATING & AIR CONDITIONING
410 WEST LAKE STREET
MINNEAPOLIS, MN 55408-2909
612-82~a~~)
I~-f-
,
(Address)
(Contact Person)
I APPLICANT SIGNATURE
t ~~~onw ~l~icant I PERMIT NO. 08.01/8 ]
ZONING (office use)
PID
(PhOne)~<ftf<./ 5~o3
(Phone)
(City)
(Zip Code)
(Phone)
DATE
I I 1
~3i D y
APPLICANT ASE COMPLETE BELOW
DNEW CONSTl)J?CTION ~ ~EPLACEMENT 0 AL TERA TION_S 1 (
FURNACE MAKE AND MODEL cL~(vc~- 3!:"', __~L~lt~1 ':'fC
FLUE SIZE RETURN O~INGS INPUT ~) tfCTUOUTPUT ~'lJO
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
DGravity 0 Hot Water
lechanical 0 Radiation
Air Conditioning 0 Special Devices
ent. System 0 Other Devices
New Fees Effective January 8, 2008
Residential Plmbg. 49.50 + .50 = $50.00 lace
Residential Htg. 49.50 + .50 = $50.00
Com'l Heating 1 % of job cost, $50 min. & Alterations
Com'l Plmbg 1% of job cost, $50 min.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
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.
$39.50
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Duildin!!: Official
Date
$
$
$
'19, s <)
.50
S-O.. 80
paidS o. 00
Date 9, &. 0&
Receipt No. C7 8/2-
/7 ~CP
BY.{
tl
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372