HomeMy WebLinkAboutHEATING 08-0884
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~'ll p()
~n\~Q-_ It ~
(j
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
}1J.-. MECH FINAL
R~olA.c~ tlJ rv..~
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L o~~h VJ
DATE TIME
f2/zCf ~
-; ,
os-0851
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
VWORK SATISFACTORY. PROCFFn
II' '\, ~ - - . -. - - - . - -- . . . . - - - ---
o CORRECT ACTION AND PROCEED
o COR idE ~~L FOR REINSPECTION BEFORE COVERING
Inspect f / ./ Owner/Contr:
CAL.; )14~~;850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE I TIME
'tll~!ce A- p
ADDRESS
""), 100
Sp~\Nc." t /\~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~,-~+
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~~NSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
INAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION / 0 MECH FINAL 0
COMMENTS: A-/c,. + Fv4'-~ f.C1~
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u nVI"\I'\.;:t" 11;:>>1'""1..1 V" T. ,."VI..I:.I:.U
o CORRECT ACTlor PROCEED
ACORRECT ,y, ALL FOR REINSPECTION BEFORE COVERING
Inspector: ......... i - Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO
2. Green City . oS, 0 884--
3. Yellow Applicant
(Please type or print and siltn at bottom)
ADDRESS
d/~ ~~1'<-I/~ Ln-K~ Rc
t
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name) A- L
PR 0((0 ,
(Phone) C}S~ -44-7-/~;l.3
;:::;?f ~O ~ I'N'? LA-t<E ~
APPLICANT Ii,
(Name) C)^\ F bJc.<d< ~4TlN1~" LL
(Address) J9b~)EUvULLf~'V $T
(Address)
(Contact Person) .h... KEJ'J iWY-k.L-
APPLICANT SIGNATURE --/) ~ ~ c ~ J ;.1.}
(Address)
(Phone) bS- t-(J.?f74t if
Iv~
/-I-A--StiN<rS
(City) I
~~<:::;:~~
(Zip Code)
(Phone) btf';;- { - '137 - <7 1I fc:,o 'L Ilf
DATE 10 / '3/~ 5f'
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL~o:-n-~ C;;M.)I 95c)453 FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D 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
$64.50
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
J./1, 50
.50
50. a?
(Office Use Only)
Build!n!! Official
Date
Paid 57). 0 ()
I Date I
7(),2J Ci
Y7tNoSi 9~e
J.
This Application Becomes Your Building Permit When Approved
-e e ILl;':
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372