HomeMy WebLinkAboutHeating Permit 09-0039
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .6(1{ 5" ~ Tr
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:
[
~ I ~ +4. ~~'lCJ
DATE TIME
*~1
oC[ - 3CJ
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
YWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECiRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr: .
,CALL 7 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
'[,3;0{
I. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO. 09, 0039
,
ZONING (office use)
(Please type or print and si~n at bottom)
ADDRESS
5"v'/5" $A~ ~AI/ Sr.f'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
cMMIIC<t 5,v;'''Mr
.>~t/S ~ 7i./JI/
5.,.-
~
!fittJlL 4/~
(Phone) q5)..~ WO - ~/:Jg
~" 5~:37;;J.
OWNER
(Name)
APPLICANT .-:"'"' Y/"I .
(Name) 7 6AtS1 /FI6CJy;,I/Jt.1I l
(Address).:3bOS .s~",/J~{, AttE
(Address)
(Contact Person) If! Ke ~>Ol"/ i'
APPLICANT SIGNATURE W~
'-1'
JH,._
(Phone) ~/;;..
JIll!>
I
7;J..9~ 5{,,-/C,
/II t1
55'/""
(Zip Code)
(City)
(Phone) c,'i)..'- 7J-9 -6&'I"{,
DATE
/- 3cJo?
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL .13l-l"",,hI/11 fJ;).t?3 FUEL #/&
FLUE SIZE 61/ RETURN OPENINGS INPUT h~ OUTPUT 5J,ofjD
DWarm Air Plants
g~vity
l::1"Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
[31'rotWater
o Radiation
o Special Devices
D 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.
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
:.:J
Estimated Cost $ ~~
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
L/j50
.50
bo~
$
$
$
Buildinl! Official
Date
Paid 51), rflJ
. Date&- , '3. 0 lit
(
\lceiPt No. ':5 7 1/v r
~~ .
l
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372