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HomeMy WebLinkAboutHeating Permit 07-1150 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ),7l(P'-t OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o )NSULA TION ;a FINAL o SITE INSPECTION COMMENTS: ",I G\,se SCHEDULED 9.,V\s~\- \\- CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL J( MECH FINAL I..... tho.. ..-- . t.G - DATE TIME ~(")~ 7-1150 o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o o WORK SATISFACTORY, PROCEED ~CORRECT ACTION AND PROCEED o CORRfJ ~K. CALL FOR REINSPECTION BEFORE COVERING Inspector:.~. .\ ) Owner/Contr: CALL: ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IN$NOTI tdcO \~ \ I CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pmk 2. Green 3. Yellow ~::y I PERMIT NO. 07 {'/.50\ Applicant . (Please type or print and si~ at bottom) ADDRESS Ii \ 6"{ 5UV\}z +/>-(. SVJ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Address) ~lAe. k~blY\<\ l)rJ ,)tL1'Y'vL (phone) q 5'2 - 3 q?, -:s Y f 0 APPLICANT (Name) SEDGWIr.K H\;ATING & AIR CONDITIONING LLC 8910 Wentworth Ave, So Mrn~di~~lis, MN 554,:m (952) 881-9000 (Contact Person) ~ --:::1J APPLICANTSIGNATURELI11 P I/V /~ ~.lc./L '-" ~ 1\SE COMPLETE BELOW DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL~\I) f, v eJ b{ MPv.~oC III FUEL 6 e>....5 FLUE SIZE RETURN OPENINGS INPUT ({ tJ, 00 () OUTPUT I DC{. 5 6 0 TYPE OF SYSTEM HEATING OR POWER PLANT (phone) (Address) (City) (Zip Code) (Phone) DATE ((J7?/v/ DWarm Air Plants DGravity B-Mechanical ''8IAir Conditioning DVent System D Steam D Hot Water D Radiation D Special Devices D 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 Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39,50 minimum $99,50 Residential, Additions & Alterations $64,50 Residential, AC Only $39,50 Industrial, Commercial & Multi-Family $39,50 $39,50 Estimated Cost $ \ 1. 900.00 Building Permit # HEA TIN G PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE $ .t~_14 -,~&i :Y1 . 'S 0 $ .50 .) ~ : '-"';.b ':...t D . Sa> (Office Use Only) Buildin!! Official Date Paid 1-0, (/Z) I Date / (. 27. t7 Rec~ No. 55:677 B1' This Application Becomes Your Building Permit When Approved ...- 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 u