HomeMy WebLinkAboutHeating Permit 07-1110
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS :5 J B:S
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 2/~!~~
\Svrt-tr"~ O~f\
CONTR.
PERMIT NO.
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J1i MECH FINAL
~O\CLC' ...l- ~~ J
I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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,--/.~ ~- ~~ ~
'. ,..
--
~ORK SATISFACTORY, PROCEED
o CORR7F)ON AND PROCEED
o CORR T RK, LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALJ~O FOR 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
Date Rec'd
~. ~il;c~n ~!!~y I PERMIT NO. 07. j' / 10
3. Ycllo\\' Applicant .
(Please type or print and sign at bottom)
ADDRESS
3/ g ~ ~ & fk/LJu'cf
ZONING (office use) I
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LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
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(Phone) iff J Y Y 7 d {'I f~
OWNER
(Name)
APPLICANT
(Name)
BURNSViLLE HEATING &AJC,INC.
J4:Jl w, (;urnSVllle par1<Way
(Address) Suite 120
BumsvfUe1rMN 55337
(Contact Person) :;;;W-f..L/I..... (."
APPLICANT SIGN~URE .~;(~...zC ~...
(Phone) C;. [,J J e:; t..j c: C 6 r-
~.
I .
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(City) (Zip Code)
(Phone) tfS"- J--- A~jr./ L.:t:o r-
DATE 11- g: - C 7
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL U i'1F7 (.,)( 6' t,/ j/IJ'l/;JY3L-:,l!Jo7, FUEL /&-iC;"~
FLUE SIZE RETURN OPENINGS INPUT ~'&: OOcJ OUTPUT ?/<<..:O
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
~echanical
CJAir 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
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 $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,~c; ,S7)
,50
</C .c:c)
lice Use Only)
Buildinl! Official
Date
Paid 40. 0 ()
Date /l.lt .67
This Application Becomes Your Building Permit When Approved
tNoSsU.3
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372