HomeMy WebLinkAboutHEATING 08-0842
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
rzt--FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
VlqO
l;;;r~
f/lA/L. L ~ ~i fL.-
4:o::r
TIME
CONTR.
PERMIT NO.
DB - ~2 t- ~44
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
f} 0 MECH FINAL (
L'P l~-r,-.f.- A I C-
.!'l f
,-u/(pfu)( ~lJ
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(~LUs5-- Ft G::;
~ WORK SATISFACTORY. PROCEED
I" 0 "cORRECT ACTION AN ~ROCEED
o CORRECT WOR1J:L ~, ~R REINSPECTION BEFORE COVERING
Inspector: . \ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO
; $:~~:'w ;;~icanl . 08. 0 8~2,
(Please type or print and siltll at bottom)
ADDRESS
ZONING (office use)
cP.I9O $~kll {]"'c/~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 17
(Name) j{I# U/~It(b
/
(Address) (0/90 /1!4~1-91 Q",c/tf
(Phone) tP'.;1 ~J:,,9.- .;J.I.:JY
APPLICANT -r::::-
(Name) /6ilHI !tIuvIMlI/M L--
(Address) 350& ..5#tf ~H(P
M'-
(Phone)
~h
, (City)
(j:Y~~ 7t:il9- 5tP'7'cP
# /'I S;:S-~&J~
(Contact Person)
//t)6
~
(Address)
4~,,~ .'1'
47HZ'
(Zip Code)
APPLICANT SIGNATURE
(Phone) tA/;..--~9- 6lPt;I~
DATE /~ -p"O~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION AREPLACEMENT D ALTERATIONS J
FURNACE MAKE AND MODEL ~H.7 hH 59D FUEL )Y'/tb
FLUE SIZE RETURN OPENINGS INPUT ;;t:;?tz'(J OUTPUT "'Z5:cPN
/' ./
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
D~
!3""Hot Water
D Radiation
D Special Devices
o Other Devices
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
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 $ ~5tv Q)
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
717 SO
.50
.50 eO
(Office Use Only)
Buildine Official
Date
Paid.5'V -' ()2)
Dat'io ,/0'r
RtyYNO. 5&9:1 (}
;p-~
(j
This Application Becomes Your Building Permit When Approved
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