HomeMy WebLinkAboutHEATING 07-1161
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
L/ I 52-
SCHEDULED ,2/I7!o 7 2. " t) 0
Co LOfl-fl.. Do sr- r
PHONE NO.
CONTR.
PERMIT NO. D 7- I ( (P I
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI (H) 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKU .--'11"""." ~::.. :....
o SEWER HOOKU ' FIREPLACE FINAL
o PLUMBING FINAL * GASLlNE AIR TST
o MECH FINAL 0
COMMENTS:
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~L FOR REINSPECTION BEFORE COVERING
Inspector: l.<L7)r I Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
o
"'INNESO~to
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:n ~~;y I PERMIT NO. 67. II G, I
3. Yellow Applicant
(please type or vrint and si2l1 at bottom)
ADDRESS
4J!j',2 &/N-adrJ \1,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
-
c:-fl I p(ltfl La.)u I m N
I / .
APPLICAN'Y: I, II J L / L r7C"J /lC,_ Q '7/
(Name) L~{DWI~~ l:+t/J,V'yn ,J- ,TO!'!}.e (Phone) ~,-?-'7 70 -/r/ 1.O
(Address)jnn flCfoytlCIo /)r \/JrcPa.n I m tV ,C;CJ357
-......-r-. (Address) I ........ . , (City) (Zip Code)
(Contact Person) /Irvl ,'5 h(/Yl.~/L (Phone) 9SJ - d9J,-7f');)2f'
APPLICANT SIGNA~URE ~' . /1/~ DATE / / / jO If) ---;
t7' / { .
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
~=R (;1)h ~q/,c:
(Address) LJ Iq~ (ti !IJY4dIJ
(Phone)
qC;:J- fit; 7-- '/aJ3
5537;;)-
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWann Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
o Hot Water
D Radiation
o Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
WD.+ t ~/o
c.-1I211I1J'2~)t [5
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.
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:~/
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q, 50
.50
LI/) . /71)
ace Use Only)
This Application Becomes Your Building Permit When Approved
Paid
4-O.DC)
1"L .[ .U[
Rfjipt No, _-J..!:>7Jfj(P
(5
Date
Buildinl!: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372