HomeMy WebLinkAboutHeating Permit 07-0300
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1 ~.\ (tJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/1/
t.; I ()5~
CATE TIME
SCHEDULED
k~lf~ 9~r?
./
CONTR.
PERMIT NO. 7- ~a::::>
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
~ PLUMBING FINAL 0 GAS LINE AIR TST
r-- MECH FINAL ~
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.Y U // Owner/Contr:
CALL <<'f.{;so FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and si~ at bottom)
ADDRESS
/5;;l/& h/~/4I",JH '//2/7-/)
~. ~i~n ~:~y I PERMIT NO. 07. 300 I
3. Yellow Applicant
,
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.$'. l.SA--. ooe 0
OWNER
(Name)
/IJ~~
/~S;fi//{-:J)
(Phone) 95;) 9'17- 7U'~
(Address) /5a-./~ H~.M SAOKIC: 7~J4/ )
APPLICAN~-/i/J
(Name) / ,;JtI.i'i1 ~CHAh'/U; J -hvL
(Phone) C//d - /dl9- .570 ~h
(Address)
3EO~
~A /JJd
(City)
~S'lo&
(Zip Code)
..5I1GrJb(,,/Jv~
(Address)
(Contact Person) /l!;ciz r; LJ (!/-/;f/.>pr/
(Phone) O>/d' 7e/Y- btPYh
DATE 7'~c7-7-c? 7
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION RREPLACEMENT D AL TERA TIONS J J
FURNACE MAKE AND MODEL AU/2Nhl'im Pt:h?S FUEL d//J
FLUE SIZE It? RETURN OPENINGS INPUT/~av OUTPUT /b-)JX/3
TYPE OF SYSTEM HEATING OR POWER PLANT
APPLICANT SIGNATURE
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam .......--..-..
[9-ffOtWater
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
IJO
Estimated Cost $ j 900
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 1-/ q "0
$ . .50
$ 'It} GO
(Office Use Only)
Buildinl! Official
I Paid 1-91 UlI
I Date 5',1' d7
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date
..,,-
. Re~1o, 5)fJ I
Bj(
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This Application Becomes Your Building Permit When Approved