HomeMy WebLinkAboutHtg Permit 02-0492
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
.5.7.6
ADDRESS
/534-1 6/1~t..GJ ~OG6
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:
2.492-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o -/ J)
t",r.
(!.,. t- OS p; 7716
DI) e- I ()
PI 06
j /VA e:T/VI TV
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5- '7- ()Z-
(Please type or print and si~ at bottom) (f\ e u.) t 6 V) 'E:> tv- U L+ it> ,.\
ADDRESS
I. Pink File PERMIT NO
2. Green City . /l.? ~ /lAA'7 .....
J. Yellow Applicant V {.or f./"'r7 ~
ZONING (office use)
\S3Y\ E.o-j\~CS R,,:\~e.. Nw ~v\vv-lctK~, f'r\}J 5S:>/d-] lei
LEGAL DESCRIPTION (office use only)
LOT35BLOCK -3' ADDITION 71fe: Wlt--D.s ..rtJt/77f
PID 25-382..- O/n-o
OWNER ()....
(Name) :r O~ -\- 'h, 'IY) \J ~V\ e d \ c t
(Address) Y q Il, S?Vl)( e, LQn-e.., 5C\\)Q~e, \f\ ~ 55 ~/~
APPLICANT /_ . iL .
(Name) t'l \ (Y\ \.) e.V, e c\ l C:t (Phone) '15 J.. - Y Y I - S ~ ~ 0
(Address) Y q \ \0 -S D V'U ce l- C\ n e... Sa Vet5 e 5 S 't> I L
\ (Address) (City) (Zip Code)
(Contact Person) -=s- (\ e.-- l', V 'A~vY"'\ ~ enecl- \ G+ . (Phone) C1 5 ;).- Lt Lt ,- 5 ~ ~ 0
APPLICANT SIGNATURE ~'V'<l ~ JV\.Q_~_~tk DATE S -,--0;),-,
(Phone) <15d.- -Y Lf -, -5 g ~ o.
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
~_. ~..
( fIREPLA<;:E ~KE AND MODEL
~ ----
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
loO("{) \<< 0
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Permit # --.tJ Z, - 04-12...
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ 39.50
$ .50
$ 4-0.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Pln4-- S -7-07- .
Building Official Date
paid.J ...--.....
~O . (} LJ
Date.- -J
o - 1-07.-
ReceiRt No.
4-ZrO 0 S-
By ~
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245