HomeMy WebLinkAboutHtg Permit 02-0510
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
5.7.6
ADDRESS
5(PSZ L-0.5,1 rtol4Z-0N 6/"--
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:
z .510
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
g ~R",T
~t-OS~ 7716 F/~6"
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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 &: SAFETYI
/J'ISNOTI
CITY OF PRIOR LAKE j1 (j -~ate Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Contact Pe"on) hA- J.e:~"':") rIrl . (Phone) (ei<y)
APPLICANT SIGNATURE ~/ \-/ ~ DATE
Or- -
APPLICANq PL~1\SE COMPLETE BELOW
DNEW CONSTRUCTION /tEPLACEMENT D AL TERA TIONS I ...:.L...-. .
FURNACE MAKE AND MODEL Yt>~(<... _ l( AI-!- FUEL "€UZ -it { (<-
FLUE SIZE RETURN OPENINGS ~ > . 00 INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
(Please type or print and sign at bottom)
ADDRES-" 5 ~ ) t') sf- Mar I UM
LEGAL DESCRIPTION (office use only)
LOT /4 BLOCK ~- ADDITION cI;l){:uJ1ff/'C~
~'::e~R lC~ ktc, l (
(Address) $~~ '1,.J2)~ Wt)r/~
APPLICANT
(Name)
(Address)
DWarm Air Plants
OGravity
o Mechanical
VAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
Residential. Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ d-q 35
..5--/0' ~
~. ~~:n ~!~ PERMIT NO. 0,),- C:-I)()
3. Yellow Applicant -.....; y
/l SL"-
'-lr
. ZONING (office use)
/7
1~ I - SD
PID9 5 - / to r; - r) 7 q- ()
_ (Phon%S"J- <./ q 1- So <f'" 7
C;r~
(Phone)
(Zip Code)
9/~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
~G.SV
I,' .50
'YO .~
Paid O()
1-/0,
Date r=
~-IO~ d
Receipt No.
1..{rUJ /'1
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