HomeMy WebLinkAboutHEATING 07-0786
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
);gCCL r,v/lJ-v fGcd
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
fC"",ECH FINAL
c::- (/ r V'\.f/o/( __
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DATE TIME
I ),- 0-(/]
7- 7 g-z:
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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/,ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCE
o CORRECT WO~LL F~NSPECTION BEFORE COVERING
Inspector: J/ n Owner/Contr:
If J'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HE:ATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~::n ~~;y I PERMIT NO. 07. 0 '7a I.,
3. Yellow Apphcant ( U \t:
ll'lease tyoe or print and si2l1 at bottom)
ADDRESS ZONING (office use)
~~ g ~ ~-h:-r ~ S~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID L'5. (.33. O(J{g. I
OWNER Ii. f. , "\.
(Name) \~ ~ G~ t ~ I '(J Qjd 1
(Address) dg9.7i r 0 r:tT r "f-..rJ SLJ
(Phone)qSd- t.f-t(')- 4/o{~
APPLICANT . . f, / c' j 1..2
(Name)l.CUl L:r-t>IPf\.,>,,-'i:'lff~ I~ Q ~one) -ft,~ - '-iQ1- r-toqq
(Address)[dj.y') l.-Ji. J~-+ll01-: -:;t=.i~ applp. {JCJ 111:.1 /:'),S/;:,)..J
(Address) 1 (City) (Zip Code)
(Phone) 4s.)... - 4::st - '7C11Q
DATE ~4-6 '7
(Contact Person) J LLL..L.---
APPLICANT SIGNATURE (J1.'\.4.d !..(_1~_
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION LjREPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL~L.l....LJ.-d - LlG- RLQl..p CiTi1 ~ FUEL fXJ1u r(J 1
FLUE SIZE Co I' RETURN OPENINGS INPUT (d:). CC() OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
DWann Air Plants
gGravity
~hanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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 $ ,:z:::;?(fS':"
,
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
;:~n. ~
.50
4(\ a.J
(Office Use Only)
'his Application Becomes Your Building Permit When Approved
Building Official
Date
Paid fo. tJ 0
Date 8 " II . d 7
A
1.PtNO.5+663
o
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372