HomeMy WebLinkAboutHeating Permit 02-1196
5.9,08,
/4-934- 6~/r:J~ /lvb,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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:
DATE TIME
z. - //1(0
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASL~AIRTST
o .. ()
r,r.
~~os6 771'6 P106'
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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.
_TI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
9-20-02-
(Please type or print and si~ at bottom)
ADDRESS
1. Pink File PERMIT NO
2, Green City 0()2- -11'lb
3. Yellow Applicant
J~93~ c:..Sm76 I1vE/I./r/6 .SE:
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) .
(Phone)
(Address)
APPLICA:r-rr7
(N ame )/:N' ,'v,,-
/
(Address)
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(Phone)
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(Address)
(City)
(Contact Person)
(Phone)
DATE
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APPLICANT SIGNATURJi~-'
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_ /' -;:t;-.., .,,_',:~'::C'
.~
ZONING (office use)
/GIJO
PID25-/54-- 005-0
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(Zip Code)
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent System
~PLAC~AKE AND MODEL ~
" -- ~ -
"- ..
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
Industrial. Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit # Cj 2. '" //1 b
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3CJ. 5 0
$ .50
$ 4-0. O~
(Office lJse Only)
This Applicati~~BLCl'rif ~our Building Permit When Approved
lUll V<r" q. lr fIo. "i--
Buildin\ Official Date
paid4t? 0 0
D~. Z (J. 0 L--
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
$39.50
$39,50
Rec~o j.?
By ~
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