HomeMy WebLinkAboutHeating Permit 09-0121
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
16')~
~k \P JL~ /Jr}.fJ
c)"
CONTR.
OWNER
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
o MECH FINAL
COMMENTS:
- / \ ^ '"'\
(2~ ..~ -(
p
DATE
4/~~~
II
TIME
61 - I '2 J
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
;i( FIREPLACE FINAL
o GAS LINE AIR TST
o
j WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK. CALL FOR REINSPECTION BEFORE COVERING
InspectorJfJl Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
/J'ISNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
3,30,1
I PERMIT NO. r. 0 ll. /
(Please type or print and si~n at bottom)
ADDRESS
File
City
Applicant
LS7 ~q,
~~ I \'--e d~-
, I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
~;;~~ANG f/Vf~ (~ ~~\Y\0J~
(Address) I "':jO d- I tho, y../ {.at\. !< ()
(Address) ~
(Contact Person) I()I/c.p... LIA...+2~.... .. '(Phone)
APPLICANT SIGNATURE __~~~ DATE ?':3:Q.-oj
--- ---r- "'~-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone)
Co{d-~ 3CoC:,~ I ~ '37
(City)
(Zip Code)
TYPE OF 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.
DWann Air Plants
DGravity
D Mechanical
DAir Conditioning
tern
~ FIREPLACE M KE AND MODEL
\,--~.. /
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & AlC (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
$
$
$
"'9 I ~O
.50
~. U"L>
(Office Use Only)
Buildine Official
Paid 50. UD
Date 3 0
Date .- .3 0 . () I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4~
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
57ZCj3
/
This Application Becomes Your Building Permit When Approved