HomeMy WebLinkAboutHtg Permit 02-0725
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TillE
I. Z a.oCf
I
ADDRESS
f733q SUNtVi If. ~/t<...
i
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING .
o FOUNDA nON
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:
~,-os6 7716
DIJ e- . I 0
Z.725
I
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~~~TST
1-/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
Inspedor:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INViOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
V't /~",. Date Rec'd
#~
~.~~n ~:~ IPERMITNO./1~1_ ?~r
3. Yellow Apphcant //~ 1
(Please type or print and sillll at bottom)
. ADDRESS
/133(1 (fU/7r~ C//7c/e
ZONING (office use)
12.;LsD
v
LEGAL DESCRIPTION (office use only)
LOT J.. BLOCK L/ ADDITION (j)~ C) ~ ~ j--
PII)~??- ~ 30- 0/1/-9
OWNER
(Name)
tJ/Jda cYleVJdiyl}
(J/076 ttcP (J/ I-G
(Phone)95.2 -~V'7-3(jcf8
. (.l\ddr~3S)
APPLICANT
(N ame)
l-?dUtV7/dLJl0 /l;/~I //0, (Phone) 9S/l-yc/6 -/9CKJ
()/26 ;:j()lh cPI, tJ I cf/7tU~ IlIAI (:)S379
~ . ~ ~ ~~
(Contact Person) f)~6I:tA-j /l _ . (Phone) 958- t/rJ5- /</{)u
() /~J /' ~ /-1.-1'--
APPLICANT SIGNATURE .~.iJJ./ /] /aCC~J) DATE @~/,J--.O;;-
/
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION )0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
(Address)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
OUTPUT
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
.,gAir Conditioning
4/C DVent. System
~ MAKE AND MODELW'JllXJfe
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
(!L~4-/ (;2-10/7 /l/~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
. /} fYY\ ~v
Estimated Cost ~'L)=- Building Penn it #
$39.50
,,~
~9.5~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ (39- jU
$ .50
$ YO. DO
(Office Use Only)
Building Official
Date
pai~ ,b/tJ, c'YV
Date?,! g-o:r
Recet);J303
.BY~
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245