HomeMy WebLinkAboutHEATING 07-1160
ADDRESS 1'-1 L, sri
DATE TIME
SCHEDULED l'f{ I Gilt"
1S~ Le, fiAt- '1;-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I -{ I (;6
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
0r(j~ ~ U tf
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
S--FIREPLACE FINAL
~ GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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o WORK SATISFACTORY. PROCEED
)l CORRE~C!JON AND PROCEED
o CORRieT ~K. CALL FOR REINSPECTION BEFORE COVERING
Inspecto .: /. V Owner/Contr: .
--~~850 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
~. ~~:n ~!~y I PERMIT NO. 07. / I & 0 I
3. Yellow Applicant
(Please type or print and sil:n at bottom)
ADDRESS
ZONING (office use)
/ Lf 457
r6/'/cl/~ R;'dap_ ~alxl IV.E.
J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
f{uan
I
/ Lj t:, 5'/
An J er .,S"rv. (Phone) ~/d-
13 1",' A /~ R ~ d.q e ~~ ~ I JJ E"
70/- .If:::'!?
p~.p fnJ
J
(Address)
APPLICA!jl) .. / J . I r-
(Name) L,.( "a. It '1-" /1t!CtI-/j ~ A'K..l:J Qr-VI\l'''~ ..2VL(Phone) qs~ - ~o 3 - /11'0
(Address)--A;:JQ/ a 1 ~-fte.1'Y< ~F+ #c;;JJ S'haKtJ pet' 17J,;/ 5-S.3 7'}
(Address) (City) (Zip Code)
f5tJ~ I?~ 24C
~ ~_=:J
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
/ /-~?-t!J 7
~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT
FURNACE MAKE AND MODEL i. J::=d J/- &04
FLUE SIZE ..y"f RETURN OPENINGS INPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
D ALTERATIONS
FUEL A/a. -I-ur~
tfRC9. 000 OUTPUT..q;f' tA.../ u
, /
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices _
D Other Devices Cd M?t' #8::t.'l/flr
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (N(:w Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64,50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39,50
Estimated Cost $
Itd~!E.
Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~ 9'. s-v
.50
-410. OV
lice Use Only)
Buildin!! Official
Paid 4-0. 6 ()
Date1l1. 01
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
,
Recei~ NOS5DB7
By J.
U
This Application Becomes Your Building Permit When Approved
Date