HomeMy WebLinkAboutHEATING 08-0121
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
?(- ( L I
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
~ECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~CRK SATISFACTORY, PROCEED
% ~'ORRECT ACTION AN~CEED
OR REINSPECTION BEFORE COVERING
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Owner/Contr:
Inspector:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
I.NSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;i::n ~;:~y I PERMIT NO. Cd - /z. ,
3. Yellow Applicant C>
(Please type or print and sign at bottom)
ADDRESS
17{75
Ida
{ir (lit ,S'~V
ZONING (office use)
Puor L.1K-e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ze; "4"ZZ -ooc.; - 0
&:R Jarnn ~1r[Sinqtr ,
(AddreSs)/7l75 Ida (ir CIE 5V/
~;~~~JWn'5' [Vlfchant(a! nD
(AddreSs)(2~C)IO elld BriCk' Ya(d RJ
linder
(Contact Person)
APPLICANT SIGNATURE ~~. C\ur~
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
Gr;: 7 Ul1' 7 I ~(j) /"1
(Phone) ,9'':- I:; - "Jj i-
11 lOr
U1tF
(Address)
(Phone)Q6} LtLf7 8sgs
SffJ!(OpEe 5"5-37q
I (?1b)- L' r; 9-.. (~~e)
(Phone) '-11). - fif 7,~G \/J
3 - 2L\ -0<6
DATE
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices ...GAs UAI e
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
New Fees Effective January 8, 2008
Commercial Plmbg./Mech. 1% of job cost, $50,00 min, :place
Commercial Sewer/Water 1% of job cost, $52,00 min.
Residential Sewer/Water $51.50 + ,50 = $52,00 IS & Alterations
New Residential PlmbglHtg. $149,50 + .50 = $150,00 V
Residential Add/All. PlmbglHtg. $49,50 + ,50 = $50,00
$39.50
Residential, Heating & AlC (New Construction
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only) ~Jtj~., V n ....
Th" APpfi7[JQur "u"dlng ~'3&ut;VOd
Suildin!! Official ~ ..... 'Date (
$
$
$
A 'l. "'-0
.50
$0..-
Paid
50_-
3/2+/0:)
Receipt No. ~S-S'30
Date
By (2.IJ t+
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372