HomeMy WebLinkAboutHeating Permit 07-0062
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J f")J. t.{() +OAlr-I,.,.L. A.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
COMMENTS:
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DATE TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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q~2-441-185~ - ~,.. _-a-:00-%:~6 f6.~.
~ORK SATISFACTORY, PROCEED
o CORR~ETION AND PROCEED
o CORR IC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector ' Owner/Contr:
CAL~7-9850 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
2, Z,07
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.. (Address)
(Contact Pmon) II ncp. - _
APPLICANT SIGNATURE ~ CJ;Jr~
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL \J), ~ G 6' tvrP ~B" 010 FUEL l.X,
FLUE SIZE RETURN OPENINGS INPUT ~ ,a::i) OUTPUT ~
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64,50
(Please type or print and si~n at bottom)
ADDRESS
1.'$.). 76
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER f
(Name) 'j 'Lr);l~iJ...,)
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(Address)
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APPLICANT
(Name)
1 I
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(Address)
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TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
[};\ravity
. .QMechanical
]Air Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
~. ~ii::n ~::;y I PERMIT NO.Ol OOfoL.
3. Yellow Applicant
ZONING (office use)
PID Z)' 930. O](P. ()
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(Phone) q')~). -Ljr.;-/. ) .'));1
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(Phone) q<'{).. - [17:7 ~~.S; g- c;-
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)!.(L'f...-C#/(C ,j ) .~).! !
(City) I (Zip Code)
-~ -, / ,.,-....
(Phone) '0/ Yc/-. -'(-(s- /)\-.~ ,)"'-
DATE
I.. 15.0=\
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.
$39,50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39,50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
'ffice Use Only)
.'his Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
$
$
$
2fLSJ
.50
40.0U
Paid .f~, {; {j
Date .;J. ~. ()7
Receipt No.5 ~j' S'"7
Bjf/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372