HomeMy WebLinkAboutHeating Permit 08-0545
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nME
3.23. d'l
I
ADDRESS
5440 J::/lWiV M6/f[)(J()J CA/R,
OWNER
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
COMMENTS:
{!"e"OS E;
CONTR.
PERMIT NO.
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
x:LUMBING FINAL
MECH FI~A}
~/~
6 ,54S-
[J EXIGRADIFILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLINE AIR TST
[J
I He ;:-/ ( --E
IJ~ tvA tAv~
~WORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
[J CORRECT/1?RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: n/f; Owner/Contr: .
V' .Y
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
msNOn
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~~~n ~~:~y I PERMIT NO.O'Ci_ /") v1-,-1
3. Yel10w Applicant {,I L~ - ~,~ ~
(Please type or print and sip,n at bottom)
ADDRESS
5'-\~o rQL.:)n 1TJE:Clci.c!-0 (~LL-r. Sc
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER . \
(Name) (y_~hn T-tC::C~~
. (Address) II B'1 (}c.l\Y'\brlr1tj-.J .wi -
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(Phone) , "'\ - ~
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(Address) ( Aq\~ \.\. v--\-l r+h,~ .F- \e\./')
(Address) ...p
(Contact Person) (\ l \ \ \ P ) 1
APPLICANT SIGN~ TURE 7!lo1. c~ /1. I ~ ~l '-----
(Phone) q:J~~-L\..:-,\ ' ---U"'CI q
Do 11 \f> .l o\lUf. \ C-{:'J~~
~ (CIty) 0 (ZIp Code)
,(Phone) q'J:> -t-\3\- ',oqq
DATE '7-~--n~
APPLICANT PLEASE COMPLETE BELOW
^IU DNEW CONSTRUCTION ~EPLACEMENT 0 ALTERATIONS
-FURNACE-MAKEANDMODEL ~LU\ d. -l.lONDO-ay- .- d ~ FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
~ Conditioning
OVent. System
o Steam
o Hot Water
o 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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Industrial, Commercial & Multi-Family
$49.50
$49.50
Estimated Cost $ r-J I ~)~
- 51.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ L\Cl, ~
$_ _50
$ ~.Il ')
This Application Becomes Your Building Permit When Approved Paid 51}, t./J
Date I '" a. I PY;
Buildinl! Official Date '~lrit VI
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
R'~iPt Nof,l, ~D I
B1
(
(Office Use Only)
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