HomeMy WebLinkAboutHeating Permit 02-1492
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
59,08
ADDRESS
/656.5 /ZIo66MtJNT /tVt:"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
2- . /4-92-
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
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINIF AIR TST
o vL/JJ./
COMMENTS:
~t-OS~
DIJH If)
771'6 PI 06
I /V ~ C!4/VI 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
'-~ Y-S{p~
i:J
b
I. Pink
2_ Green
3. Yellow
File
City
Applicant
Date Rec'd
/}\-q/I\
(Please type or print and sign at bottom)
ADDRESS
155<65
PERMIT NO.OJ,- /4'i~
ZONING (office use)
kIS,D
"Q.; JlQ-e~n t
:)0 f -:pr~ cv- LOLC(~
~
LEGAL DESCRIPTION (office use only)
LOT ( BLOCK ) ADDITION (10.) VI N Elf' kJ e.J ~ ~
~~e~R 12-~ ~CX/\rJL ~'-f"'" t~
(Admess) I 5 S \f 5 ~ .::l ~~ \'Y\CYI t I\~
APPLICANT
(Name)
(Address)
/ f;-f-
(Phone)
'S' c ..
PID!)::2-0~(P- OD I-b
~Sd.. Lflfl- 3al~
(Phone)
q5~- ~f1\.f-a65
(City)
(Zip Code)
(Phone) q S .}.. <. ~ '-f ~ ex:::o <:;
DATE \ l- t t -0 ~
TYPE OF SYSTEM
DWarm Air Plants ~ 4l,...
DGravity ~'
o Mechanical \ :). _J "-
gA.ir Conditioning Lev\" <:f' ~ I ~I')
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
8urnsville ~iGetlng ..:i A/C, 111l,;.
12481 Rhode Island Ave. So.
83'9'13::)-:. ,~tt~(A~~1s{FI1:l-t!
(Contact Person) 0 f\ NC-"/ g,,~
{ I
APPLICANT SIGNATURE t-.J ~ 'Q.'-f~
U Q
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 _ Re~idf'ntiaJ. Additions & Alterations
$64.50 ( Residential, AC oruy--..:.>
Industrial. Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
34 < So
.50
4-0 - CC)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 1/0/ oV
I T)llte / / -/3-0,}-
24 hour notice 1'0" ,1- ; " *io
'952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
c_
$19..51L
$39.50
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