HomeMy WebLinkAboutHeating Permit 09-0140
ADDRESS
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~DAT
SCHEDULED 4 I. 01 (I '.. ?>o
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JELLf~~Cr
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q-~
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL ~ASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0,
COMMENTS: ~ U/Vv"'" ~ - D-"\~j
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C'- I-Oq7- h u;r.
VWORK SATISFACTORY, PROCEED
~ORRECT ACTI<'END PROCEED
o CORRECT'f7:'! LL FOR REINSPECTlON 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
(Please type or print and si~n at bottom)
ADDRESS .\--
5 I d I ~ '- \ \ \ ",>t-\) '"'\ C\
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
(Address)
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APPLICANT rf\ ~ \ ^ \
(Name) \ \...."'- ~\'-u Q r\ ~ .- 1\ <-
(Address) \ \..9 ~ ~ D \..1 'Z. \ L;;:;' /'v--J... r-t V \
f\ (Address)
(Contact Person) i \ ~ h ~ (~ 1> '- ~\,,,
APPLICANT SIGNATURE ~ _' W,
Date Rec'd
4--. 10 10 i
~. ~~:n ~~;~) I PERMIT NO. 00. OIA./\1
3. Yellow Applicant /, ~
S~
ZONING (office use)
PID
(Phone) 10 l ~-1~ 3 ~ l~l~
(Phone) ~ ~ ~ - '-\ v\) - 8 \d '-'1
() (' I ~- l c, l~ s 5" -:3 J ~
(City) (Zip Code)
(Phone) C, S' d.:-L\\.\ ') - ~ \.,~ Y
DATE Y - ~_C\
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT j2fALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
D Steam Units and Fireplaces Cannot Encroach
Do RHodt,water into Required Side Yard Setbacks.
alation F' I 'th B Add""
~ S . I D . Irep aces WI ox ItIons or
peCla eVlces
Other Devices Cantilevers to the Outside of Buildings
\ \ ,\."", 0 ..., \. "". trK. Require a BUildinr;ermit"
'~.\+-\:t", .,." - l' ~ -:2J./)~- :) J, '-N'H,.:>, ~\ _I .
. , ~l '-P'" i.\ )\:.. \ I I r ~
DWarm Air Plants
DGravity
D Mechanical
OAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % 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
~ ~ ()/
Estimated Cost $ D ~ Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
$49.50
$49.50
$49.50
$
$
$
,,\ ( s,9/'
\ .
.50
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Paid 50.. UO
Date A_ Q
Date 'f .. I.f.. CJ /
24 hour notice for all inspections (952) 447-9850, fax (952) 4'-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Rece~o. 57713
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This Application Becomes Your Building Permit When Approved
Buildinl! Official