HomeMy WebLinkAboutHeating Permit 07-0902
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~?
ADDRESS 38~ tJ\~ ~.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
lit
'-\.65 e
CONTR.
PERMIT NO.
'7- CfCfL
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
~ MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I V r I
rJ V\.II., +-,: ( e
~WORK SATISFACTORY, PROCEED
o COR mE CTION AND PROCEED
o COR CT'I'ffr. CALL FOR REINSPECTION BEFORE COVERING
Inspect: '/ / ~ Owner/Contr:
CALL~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Circcn
3. Yellow
File
City
Applicant
I PERMIT NO. 07, OqOZJ
Ii
ZONING (office use)
(Please type or print and si~n at bottom)
ADDRESS
3gs~ fvJaA~ SA N.tAl I
,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER /). . .~....u-
(Name) _~ ~
(Address) 3~5';?l 71//~ .s~ #JiJ,
,
(Phone) 0/5';) - c/Va .- /~(') 3
APPLICANT. -I-:. _ r_
(Name) ~/I. -7'1o~ ~
(Address) ?&fI5""" /4t ~ ~ AJ.
(Address)
(Contact Person) ~ ~~-
APPLICANT SIGNATU~ ~ /C~.
u
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL (P~~ FUEL ~~
FLUE SIZE ;:;} (' RETURN OPENINGS INPUT 4/1 //CJz) OUTPUT,~sI.oL1o
- - /' \,. ,.
HEATING OR POWER PLANT
(Phone) qlf'~ - 431--- 573;;'-
O~~, ~ #~~S/~y'
/ II' ~ity) (Zip Code)
(Phone) q5'.? '~7/3 f./ S-73~
DATE ?/..?-~/P/
TYPE OF SYSTEM
OWarm Air Plants
OGravity
CB"Mechanical
B1\ir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64.50
$39,50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
Estimated Cost $
4CJrJtJ. (/?J
Building Permit #
HEA TING PERMIT FEE
ST ATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
3C? " S?J
,50
4#. t~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
Paid 40-
Dateq,dO ,01
. ::'f}O
U--
C#,!:l)
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue. Prior Lake, MN 55372