HomeMy WebLinkAboutHeating Permit 08-0627
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,
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
;<:LUMBING FINAL
MECH FINA;
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COMMENTS:
OA TE TIME
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~'ffLL FOR REINSPECTION BEFORE COVERING
Inspector: ( ~ / Owner/Contr: ,
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and siWl at bottom)
ADDRESS
/~ 037 Jcf ~.-o-rrll ~d, }..L w
1. Pink File PERMI 0 t
2. Green City
3. Yellow Applicant TN, 0 8~ 0 ~ 2-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER \. i
(Name) &~ ~"
(Address) It,03'7 JJ~-d /2d. )..I, tJ
(Phone)Q5d -t../i./7 -~33 <7
APPLICAN'YJ.' ,} ~ L "-_
(Name) ~ P'1~ ~---
(Address) t::.9/ 5' / '-It. t"- :;.-/-. ~ \
(Address)
(Contact Person) -~, ~
C1G# I
APPLICANT SIGNATURE ~~ ~, ~
v
(Phone) 95~- 413/- SQ3 ;;J-.
a./JA~-' ~~Pf~ 2S'/.;l-~'
~ / (Zip Code)
(Phone) ~;)./-I.3/ -~~3.J-
DATE g-/6/03
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWarm Air Plants
o Gravity
D Mechanical
[H-'Air Conditioning
DVent System
HEATING OR POWER PLANT
D Steam
o Hot Water
D Radiation
D 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
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace
$49.50 minimum
Residential, Heating & AlC (New Construction) $149.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
OD
Estimated Cost $ ..;1 CJOO .- Building Permit #
$49,50
$49.50
$49.50
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ J/j sO
$ .50
$ SO. ~~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
PaidSO. 00
Date~, 20, dB
ReceiP~ No. 5k6 8 b
BO'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372