HomeMy WebLinkAboutHeating Permit 02-0009
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIllE
s: 7, 8
ADDRESS
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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:
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2-.0009
o EXlGRA"FILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIO!.~
HEATING/AIR CONDITIONIN~"IRE~A~RMIT
Date Rec'd
/2-3/-0/
I. Pink
2, Green
3, Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
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1-11 {,-L- ,eo
52(P(P
LEGAL DESCRIPTION (office use only)
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APPLICANT
(Name)
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(Phone)
(Address)
(Address)
(City)
PERMIT NO. 02,..-d()Oq
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ZONING (office use)
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(Zip Code)
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F~PLICANTSIGNATURV/:::~;;~:::C~PLETE""L:W i-:!- 1. ;'2-
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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~LACE~E AND MODEL
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FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit # 02- 0009
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3 9.50
$ .50
$ -+-tJ. 0 0
(Office Use Only)
Thi. APPI~i1ding pe;;t~W~/:jmVOd
Building Official Date
Paid A-
'TO. (fl/
Date /
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
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