HomeMy WebLinkAboutHEATING 07-1096
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J ~},;*
SCHEDULED l-t{,-tJc;
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
;-f016
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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JWORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND ~CEED
o CORRECT WOR~, ~OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
///101
(Please type or print and si~n at bottom)
ADDRESS
// 5' d~ f? h:.s.h LJCJ / I) +- l~ oad
~. ~~~n ~:~y I PERMIT NO. 07.100/ I
3. Yellow Applicant . 7 "
I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER II a rrj -S-+robe( (g s- al. )
(Name) (Phone) ~~tJ- 5792......
(Address) /S~;J8' /-/~/')I'n+ E{pad P/",'/)r L~k~ h?/V SS,3]:1-
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APPLlCAN L. 1-1 I P A :JNC - \
(Name)-4!-ua./'T",.J i'a.'"t-; na , IRS erv,' ~"t'.$ (Phone) (" C; ScL) ~o 3-///0
(Address) /:!r":;? /~~_- rJ /~ql'~ Ufn+uu< (!/. ~;;JI ShAkop(l~ hlJ SS3}~t
L (Addre/1e Z"'..#" (City) / (Zip Code)
(Contact Person) /3; tl .0 /(, ~__ (Phone)
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION Kl REPLACEMENT D AL TERA TIONS
FURNACEMAKEANDMODEL Pain ~ PerQmAl3lJ3c,.O(,.,D FUEL A.lvclu..r~
FLUE SIZE r::2. RETURN OPENINGS ,,;)3 % ~ J'f 7'1- INPUT IRe?.. 00 t) OUTPUT S~. 000
TYPE OF SYSTEM HEATING OR POWER PLANT
APPLICANT SIGNATURE
DATE
/1- /.3-D7
DWarm Air Plants
DGravity
[M'Mechanical F << f'1"l "', c:: e.....
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D 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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ d 901" ~
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.39. S-O
.50
..c/ t/ '" en:;,
(Office Use Only)
This Application Becomes Your Building Permit When Approved I Paid ~O. ({l/
City of Prior Lake Bldg. Dept.
Buildin!! Official 4646 Dakota Street Southeast
Prior Lake, Minnesota 55372
24 hour no1 Phone: 952.447.9850 17-4245
l( FAX: 952.447.4245
ReceiP/ro. ~O zs-
BY..:I.
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