HomeMy WebLinkAboutHeating Permit 09-0075
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS / r...l\'S~ ""G:MI"\~ ~
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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
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COMMENTS:
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DATE
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TIME
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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;< WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREiJt20 CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL _ - 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
:L(Ld J
I. Pink
2. Green
3 Yellow
File
City
Applicant
\ PERMIT NO.O Cf, 00751
. I
ZONING (office use)
(Please type or print and sign at bottom)
ADDRESS
fq IS I li""o~'1 A~ ~r~" ~e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
. (Address)
APPLICANT
(Name)
(Address)
\-\ t)('fc_Or-. G,N\-rCl~'~c>l:'V\ '-
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(Phone) cO 1)- ~-O&- ~d-qb
S. ~o.\:o ~e S'ss7 ~
(Ci~) (Zip Code)
\-\or. ("20..... dn'IJ~
(Address)
(Contact Pcrson) A" rI'l \-\... .?l.... 'C", \ \..- (Phone)
APPLICANT SIGNATURE ~ DATE 3-11-0'1
APPLICANT PLEASE.>OMPLETE BELOW
__ DNEW CONSTRUCTION CS('REPLACEMENT 0 ALTERATIONS
('d".lJRNA~AKEANDMODEL Po...~NL %0.000 EIU qjo-to FUEL .....\r..t-00\~
FLUE SIZE _____ RETURN OPENINGS' INPUT OUTPUT
TYPE OF SYSTEM
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o 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.
FIREPLACE MAKE 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 #
HEA TlNG PERMIT FEE
ST ATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
41.50
.50
.5'{) 1L1-)
Buildinl! Official
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Paid5?J~w ~iPtNO'31J-l<2
Date Date? (t rI 7 (B:'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-~245 0'
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
(Office Use Only)
This Application Becomes Your Building Permit When Approved