HomeMy WebLinkAboutHEATING 08-0063
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS Jc..(~a4 lSt\\~ ~l"~P
,"-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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DATE
'410/0'0
TIME
R -DOG. <
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
;(...CORRECT ACTION AND PROCEED
o CORREC;wmr, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ( I II/) Owner/Contr:
V"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and si~n at bottom)
ADDRESS
/ ~ 5~ 'i /3,., ,J/'1' /:), J.s ~
/ ~(U I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~ h l-tL~'\. vtA.
L ~ V\ J kJe.\.c
.,)
(Address) S ~ 'E~-
APPLICANT
(Name)
iURNSViLLE HEATING & Ale, INC.
3451 W. Bumsville Parkway
Suita.120
~ .. BlIms~~ 55337
o t{ 1 tL.,~ f"', r--'
r-) IL~~ ~~'Ll~-Lf'
(Address)
(Contact Person)
APPLICANT SIGNATURE
Date Rec' d
; ~i~:n ~::~y I PERMIT NO. c.)Q. 1\ t? I -:('
3. Yellow Applicant U V \.(7--.)
ZONING (office use)
PID
(Phone)
~{.}. CJ h~ ~bO J
(Phone) q.s--:+- fil tj 006~-
I -
(City)
(Zip Code)
(Phone)
DATE d- -/f~ tJy
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT IBAL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
~V ent. System
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices _ _ .
~ther Devices /+It'" I::X:~
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
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
$39.50
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
$
$
$
49.50
.50
50.0(2
Paid - /) (,/ 0
"::;u.
Date 2. Z Z . ot/
,/)
Rer~o'55"/7&
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372