HomeMy WebLinkAboutHEATING 08-0256
DATE TIME
CITY OF PRIOR LAKE 1/9(()'7-..
INSPECTION NOTICE "3~3cf SCHEDULED
. I
ADDRESS J&~l.,- g~-
OWNER CONTR.
PHONE NO. PERMIT NO. 8-2~
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION tJ( MECH FINAL 0
COMMENTS:
1\
, I)
(\ --Vr " (.
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...........
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X WORK SATISFACTORY, PROCEED
o CORRECT~~IION DPROCEED
o CORREC~ Wc:jR , ALL FOR REINSPECTION BEFORE COVERING
Inspector: I V Owner/Contr:
CALtf447~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~5o.co
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:n ~:~y l PERMIT NO. o.a O? Z::-" I
3. Yellow Applicant V . ~~
(Please type or print and si~n at bottom)
ADDRESS ZONING (office use)
:3B3q M41<.sl-I 57 NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
GEoR..<::::"E: WEST
3"8 34- IvtIt~S J.I sr N'N
(Address)
APPLICANT
(Name) ONt===l4ou.JL U~PtT /NG <w
(Address) I q D Y Ii b:-t.ui.LU l)/J 51"'.
(Address)
(Contact Person) --.1\. KE'"tJ OA-U-
APPLICANT SIGNATURE -f).~
PID
(Phone) 95.:1- :l.;;J.b - 2110
Ai e.. (Phone) {P5/-437- LIlli
I-I AS-r, N1 s MN 55033
(City) (Zip Code)
(Phone) k:,!G.I-4'3 7. Cj4fuo 'L/4
DATE <f /1.'-1 /()t
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION aREPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL G004')MktJ c:.M. \(Q501 04 ex. FUEL
FLUE SIZE RETURN OPENINGS INPUT Cc.~5o OUTPUT 10. co."'
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
D Mechanical
8Air Conditioning
:JVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
<flee Use Only)
Chis Application Becomes Your Building Permit When Approved
Bui/din!! Official
Date
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
v1.50
.
49..5"0
.50
So.d:)
Paid &:-; )
.::....JO.O (
Date
5.12,0&
I)
. Receitto.
By I
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o
EDJ7
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372