HomeMy WebLinkAboutHtg Permit 02-0525
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
b.7,b
ADDRESS
/~8 4--0 HWV 13 5
I
CONTR.
OWNER
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:
.. ~t-os6 7716
DUff 10
2 5 7 c:::-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o ~INy>E AIR TST
D~/
PI 06
j /V ~ e..;r, V I TV
I
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.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY!
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5- If OJ
(Please type or print and sign at bottom)
ADDRESS
;fZZ () /-/rvy 15
; ~ f)4V 17Yv't/
LEGAL DESCRIPTION (office use only) I
1- Pink File PERMIT NO j
2. Green City . 62."'" 052-';-
3. Yellow Applicant _ -'
(~;q/ 77/
e//l/ R-t!#
. ZONING (office use)
C-/
.,.., ,--
/ ::J .:;).
LOT
BLOCK
ADDITION
PID Z':.J -1(}Z - j{.J4--(')
OWNER
(N ame)
(Phone)
(Address)
APPLICANT/ J . C1 i f) q r 1/) '192- I '2/')Cj
(Name) J - "--"- ("-!-- _~ &_'" (Phone).~ ~ b'/(,/ t
~- r
(Address) Iff/fie N~\ Ov- JcY7jt,~ s.';J .s-2-
-I . (~ddre~ " (City) (Zip Code)
(Contact Person) tl.. e'. ,{Jj)~______ (Phone) 9i~ ~ t3~)~1
APPLICANT SIG~URE (J.. ti&JUl"-1~ - DATE _ S~ ) if ~ 1/JI.L) 2~
{/'" APPLICANT PLEA~E COMPLETE BELOW
DNEW CONSTRUCTIO~ / 'rv'l'REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL '/ /1-/( ./ r . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
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
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential. Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Residential, Additions & Alterations
Residential, AC Only
Building Pennit # O~ -0 s-tr
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
:31. 5'{>
$
$
$
.50
4-0. 0 ()
(Office Use Only)
I
This Application Becomes Your Building Permit When Approved
01j1!J-- s:- - (4- -0 '2
Building Official Date
Paid J 'fJ
'rO , () U
Date _
S -1'1-07-....
ReceipiNo. "?C1
fr' 2-D.-5 1
By ,p
Y
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245