HomeMy WebLinkAboutHeating Permit 08-0983
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
aJ~tdtJ3
ADDRESS / tl. 8C:,}1 'boucA i'V\... St--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
8 --9~~
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
pCH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
~ CORRECT ~~AND PROCEED
o CORRECt' woRK t-ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 4'47.$8j() FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
--- ..->"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
&':::R /f(!~ /Je//eel-
(Address) /PX'~7 /10L(ef,.; JI/&e/-;
APPLICANT /J A '\
(Name) ~r'1? II 'T7~_ e-.:z;,r:...
(Address)L2..7.".3 A//~/!y- -&~. S.
(Address)
~4.H
, I
APPLICANT SIGNATURE b- ~ . _ ~~TE
A(;LICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~EPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL /? ~ It ".I- 3S'2..1-1tv'o '/ :f I cKJ FUEL /I e;:;T:
~_.... /
FLUE SIZE RETURN OPENINGS INPUT /'00,03 -Q;) OUTPUT 1'Z QQO
(Please type or print and sign at bottom)
ADDRESS
6J to 1 /JOlt c/,n
J ~ef-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Contact Person)
TYPE OF SYSTEM
nuttl Utl~\~
], Pink
2. Grecn
3. Yellow
File
City
Applicant
I PERMIT NO. 08.0983
"
I ZONING (office use)
N. E.
PID
(Phone)
9SL- '1~v -.3090
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<::1;5" L - 7 y, ~.rl.u.;:)
(Phone)
<fG .e,./:!"v~ I (p
(City) " (Zip Code)
9...rz- 7'/ f:,- J Z- ~
/1 /.z r7~ i
hpJ
J" s.s3 7
(Phone)
HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
o Gravity 0 Hot Water
- :,ztMechanical ~e?'p.Jv(lf:V" 0 Radiation
/ ]Air Conditioning t'Uf O~ ~ Special Devices
DVent. System . \.f 0 Other Devices
FIREPLACE MAKE AND MODEL
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.
FEE SCHEDULE
I % 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)
Estimated Cost $
JtBS-
HEATING PERMIT FEE
. STATE SURCHARGE
11 ' ~ T<'ltAL PERMIT FEE
(Office Uje~ly) \ /' r--...
Th;~' ~tm.. Y~~;'BU;ld;ngr:t1; Appmved
II Buildin~.fficial ./ , Dale
--
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
$
$
$
~ H.5D
.50
~ 5lJ. em
Ref)NO'!:J //S-j/
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(j
Paid5l> '" vD
Date/2.-.1 (), f/%
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372