HomeMy WebLinkAboutHEATING 08-0844
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J2t-FINAL
o SITE INSPECTION
COMMENTS:
\ c/;;i~
I'/lA/l.. L ~~I (L.
SCHEDULED
v,QO
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
f). . 0 MECH FINAL (
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n r
4J W,,-Ac JI'!?r/)
, I I .
(~LUs5-- Fr ~
TIME
4:cx:p
DB - ~2 t- ~44
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/~WORK SATISFACTORY, PROCEED
/' 0 "cORRECT ACTION AN ~ROCEED
o CORRECT WOR'ZL ~, ~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!
I/'ISNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File PERMIT NO () M4t-
2. Green City . Ct., 0
3. Yellow Applicant (,I
(Please type or print and si~n at bottom)
ADDRESS
0{CfO ~1n( ieVl (if (, i-E
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~'::~R John W(](mtn{J
(AddreSs)hIQO ^1Gf IE n v (If Gle
(PhoneQ81: Y-~O--1B6~
{{lor LaKe
~:~~~mrr5 ~1f'Chan((al th(,;
(Address) l20iO act 8((01\ Yard Rei
I ll/lrJfT (Address)
(Contact Person) Ur jL1V/ 11
. APPLICANT SIGNATURE _~J
~~
(phone)Cftjc lfq595a5
Sha~e 5537q
I rlm2)' . Aif--Code)
(Phon!~ 1rJ. ~ Lf5:- 65fY 'J
\ 0 - (Q-0'6
DATE
APPLICANT PLE~~E COMPLETE BELOW
DNEW CONSTRUCTION !fQJ.EPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWarm Air Plants
DGravity
] Mechanical
. ~ir Conditioning
crVent. System
HEATING OR POWER PLANT
o Steam
D Hot Water
o 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
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
L\C\.SO
.50
fj).OO
(Office Use Only)
Buildin!! Official
Date
Paid ~\ jO, '"\
~v, V ~
Date I O~ ( f. CI /
. Re,ipt No. ~ 7 Z- r
gy
1/
./
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372