HomeMy WebLinkAboutHeating Permit 08-0188
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4&4/
SCHEDULED 3.2.3. cI 9
I
Pf/bAS/1N/
S1 "
OWNER
CONTR.
PHONE NO.
PERMIT NO.
f1. /86
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
,^MECH~7~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~~OS6 /He F/ ( Z
~ Aft') il.4.t ke..'7S
'~RKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ORK' CALL FOR REINSPECTION BEFORE COVERING
Inspeclor. rp awnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~( -1.1,1-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please tvue or print and sign at bottom)
ADDRESS
~6LjJ
P I ell / a U1__~ ~~:~(~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
4es..rc
L-ee
(Address)
APPLICANT
(Name)
BLJRNSVILLE HEATING & AlC, INC.
3451 'N. BUrl 15\iille raFkway
Suite 120
(1ium~ille, MN 5533;
Sbt..Ja.n _~~----
JJ1..f 1L-'Y1 <:S/L/~
(Address)
(Contact Person)
APPLICANT SIGNATURE
Date Rec'd
~. ~~:n ~!;y PERMIT NO... o. 'a_... Q. / ~ ~ I
3. Yellow Applicant U GI V
ZONING (office use)
PID
(Phone)
,~t, 7 7Wl/'
.
(Phone) C) ~ d-l'7 i./ ooos-
(Phone)
(City) (Zip Code)
q .s.- J- J-c.71./ CJCk:J ,\ ~
'1/q/~g=
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT ~ AL TERA TIONS Ale.: 9idd&rJ
FURNACE MAKE AND MODEL FUEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
HEATING OR POWER PLANT
o Steam
D Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
~Air Conditioning ~..17; n
DVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
INPUT
OUTPUT
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.
$]'.',[0-
Residential, Additions & Alterations
Residential, AC Only
~(A5..0
$309.j~
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Build!n!! Official
Date
$
$
$
~4 &CJ
.50
,s:n .DCL
Paid 50. CIb
Date +-, z,-z,-. OV
Rece1/o. ::;b~ 10
I~"
o
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372