HomeMy WebLinkAboutHeating Permit 07-0343
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
14058 HAAS LAKE CIR NW
Furnace
Bldg Permit #07-0343
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
LEITER SENT 1/30/2009
CLOSE THE FIT .F.
DUE TO INACTIVITY
2/9/2009
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTj
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
41oLf(o ~rOM -iT oS/!
Mty.l~fI', ~V .J~{J 7 Z-
Date Rec'd
1. Pink
2. Green
3. Yellow
~~~. I PERMIT NO. A 7 - ~4 ?
Apphcant V ~ '""":)
(Please type or print and sign at bottom)
ADDRESS
/~~
~ L4Ve /,,,ut, #r~ ~~# M~
. -
ZONING (office
use) {t.!
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z C; -404 .co-r-o
I
OWNER ~ _
(Name) ----"'nR-""~J" A-
t.J/
(Phone)
(Address) /c/o53' IHw.s LA1f7!! ~ f ~ ~~ I ~.
APPLICANT? _.. _... _
(Name) ~ AtA: .PC.
(Phone) ....s t/ I ,.. I> '3 ,. / ~
I APPLICANT SIGNATURE
(Address) 6
1)1 ~ i..A) Al.
(Address)
(Contact Person) ~ CA-l..(.A-t~
d~ ~ DATE f)~~?
( / APPLICANT PLEASE COMPLETE BELOW
DNEWIC"ONSTRUCTlON D REPLACEMENT ,.g(-AL TERA TlONS
FURNACE MAKE AND MODEL ~ JA.. FUEL
.
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
cl ~1t1JA:f' . ~...J
. (CitY)
Jj1))1
(Zip Code)
(Phone) 51TJ... '&,.3-12-06
TYPE OF SYSTEM
~rm Air Plants S'S/If; z.. A!.-//t
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & AJC (New Construction)
Residential, Heating Only (New Construction)
I~~ - 6/ot,..) (,t:/IA) 6-
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace, I
$39.50 minimum -
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
~
~
. 0
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Estimated Cost $ ?'l. tV
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ ?9. w
$ .50
$ 79. SlJ
(Office Use Only); /
, Thi, A,p<<.; om" V.....B.Hding p'''7''' w'f' Appmv'"
"II ~_. ~ /1(, It> 7
B.uildinl! Officiaf" '.... Date
'.,
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Paid
1'1. 'i.?
Sift; (01
Receipt No. 534</5
By
fY1/t ~
Date