HomeMy WebLinkAboutHeating Permit 02-0051
S. 7,Y
/4143 :d/UOLA~ ./C.4oGe'TlL.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
Z- .5/
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~,-"os6
Dlj~ 10
!1l6 PI 06
j /V ,?} eT/ V I TV
I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[J 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
INSPECTION NOTICE
DATE TIME
ADDRESS
/L-I74~
. SCn~DUtED z../(p/O Z /1:30
,
~ p/ 'fJ7'0 / Ie .
'"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o z - 005/
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 EX/GRAD/FILLING
COMPLAINT
FIREPLACE RI
COMMENTS(\) h.~ ~
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11
GASLlNE AIR TST
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, ". ;
~ 'W ~~!'--' cd ~ r
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2.. S "tt- A- \' rt- -\+' ! .J- b-r- b~ l ~'-( _ - rfvz.-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f?:J.x \. Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
HEATING/p.JR.CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/- 15 -01-
1. Pink File PERMIT NO
2. Green City . Q' '? -00 ~I
3. Yellow Applicant c..- ~
(Please type or print and sign at bottom)
ADDRESS
/'-17 </3 6(' tcf / e /J.,cf a ~ 1ft?! /'/ IVG'.
oJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDz.5..~4" tJ11-0
(Address)
/~Y' 1'(1/ P .q {rlg ~.
(JdY'n~r/IJ//ietRrej/tk(fhone), 9/7)'- :?9'iJ-rJ,)<;"g
f)) ,HiJIIAI.3 &Y1S(JII/eF IlJAl ~~C;337
(Address) ~ (City) I ' (Zip Code'
(ContactPe<son) J/d-- fJ/1t:J1~IS. '. (fhone) 3SfJ-l1.g'(J-07/-'f!.
APPLICANT SIGNATURE 4. 1{~ DATE // $If /J,2
- V / ,
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
J CLrf<,' f. Sd 1/ r
- -
/ f/7 l/3
.
(Phone) 95) - w? - A'J a R
J r'lA // flI F.
.
OWNER
(Name)
APPLICANT ,
(Name) [:,' V' fl 5 ,'C IJ
~ ?~'j- n
~ - -
(Address)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
1/ (.>"!+ -N'-<;/o .lJ1oJ~/. SL 7~() rJ1S-C:.., .011-':' NrtJLJlqLI?
FEE SCHEDULE ""'tli'r' eel jlhif~~
I % of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
$99.50
$64.50
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3'}.50
$ .50
$ ~O. vo
(Office lJse Only)
This Applic~o2- ~e5fme~ur Building Permit When Approved
~ (-- IS--o~
Building Official Date
Paid ,fl )
M"vv
Date
I-/~-" L--
Receipt No.
4-'//S/P
By ;P-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245