HomeMy WebLinkAboutHeating Permit 09-0073
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
3~
TIME
ADDRESS ! ( ^ 9 (j 'l, L y dYI5<
OWNER CONTR.
PHONE NO.
PERMIT NO.
C/1- col '?
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
)l!{ MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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"'WORK SATISFACTORY, PROCEED
/ 0 'cORRECr"(T~ AND PROCEED
o CORREth w(/Rti, CALL FOR REINSPECTION BEFORE COVERING
Inspector: \ I I ~ Owner/Contr: .
CALL\17-~50~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3/1/0;
I, Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. 09 o07J
I
ZONING (office use)
(Please tyve or print and sij1;n at bottom)
ADDRESS
1&90 7
LYONS
/tVe- .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
/l _
&=~,\LL bL~2fX-
(Address) )~ ~tfJ L:/tJ~~
(Phone)
fS2-2/Z-5}fJ7
APPLICANT
(N ame)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE
( -?-;7-CJ7
~.7~
-----.
APPLICANT PLEASE COMPLETE BELOW
,,-- ~ DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
( FURNACE MAKE ND MODEL FUEL
---
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
APPLICANT SIGNATURE
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
o Hot Water
D Radiation
o Special Devices
o 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
}<'EE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
..f-f..S(J
.5~
<;7) J (/1.'-)
(Office Use Only)
Buildine: Official
Pai~. UQ
D~. 9. () c;
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Date
Recepo. ~ 72-G 7
By I
(i
This Application Becomes Your Building Permit When Approved