HomeMy WebLinkAboutHeating Permit 08-0581
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ! t.l1) I ~ () CL.lJ~ r
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
pt MECH FINAL
a~(JkJ ~,.
COMMENTS:
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DATE TIME
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8 - 58/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-t-t-\.c
/,WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE(JC~RJ' CALL FOR REINSPECTION BEFORE COVERING
Inspector: / Ih Owner/Contr:
CALL 7.~85jOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
. ------/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(please type or print and si~ at bottom)
ADDRESS
\L.-I 7 (~ L1Klt-ef \c, VIP. n e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
OWNER
(Name) ~l1 (viLI +- Gl nC. I}),' \:::D V\
(Address) \Lr7r~ ~+eI l/AhO nb-
APPLICANT
(Name) '\h-\-(!.Q., [J) yy\ 40 r~
(Address) -.:tD'"l') l oj; () ()e- +- ~ ~ ICD
- - (Address) -
(Contact Person) YV\(A/V) lJA { (?("yl t-z~&
APPLICANTSIGNATURE (M.~At(2~~ A ~
Date Ree'd
i ~ ~!~y I PERMIT NO'08 O.ro/ I
3. Yellow Applicant . ~CJ
ZONING (office use)
Pill 2$.300. 037. 0
(phone) t15'J. - Li4D - 3(;/i1" ')
(phone) '! 10 -::?-~:363 ~ f;,~~
net.u I-Q:12 ;;SC(;) J
(City) (Zip Code)
(phone) ~t?5-3~~ ,g.:<) $ 3
DATE -2f1Ctt.t.:6
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
OWarrn Air Plants
OGravity
o Mechanical
~ir Conditioning
OVent. System
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
$49.50
$49.50
$49.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildlne Official
Date
$. Ut1.~O
$ .50
$ brJ.(j"'J
Paid ~ , 0 0
Da~
zj,<O.O~
RfjPt No~ -53.3 I
6" I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372