HomeMy WebLinkAboutHEATING PERMIT 09-0994
SCHEDULED
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TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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COMMENTS:
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
~ MECH FINAL ~
{--\...I-t-J A N~ + +/ c
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
C-L<:>S~
F-tl..-E-
....WORK SATISFACTORY, PROCE~
o CORRECT ACTION AND PROCEED
o CORRECT ~K~ ~::, :-.=:~CTION BEFORE COVERING
Inspector: .0/ ~ Owner!Contr:
CALL 447-~50 FOR THE N~SPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please tvDe or Print and sian at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~ (j'O,-r'~' ~n l-~
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(Address)
APPLICANTrY\ n L V\ i --
(Name) \ \J.. ~ n" r" J n (~
(Address) \ ~ <\ ~ (j \.\ <z \ L Cl N (t,)) Q...
(Address) .-
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(Contact Person) \'1 '" ~ ty ( \1. ~ ~_\.'- \
APPLICANT SIGNATURE ~~ V~
Date Rec'd
/2.. /.01
L Pink File PERMIT NO tAl
;: ~~~~:w ;~~icant '01. OW'f-
ZONING (office use)
PID
(Phone) (I(~ -~s 1-\0' ~ I
(Phone) q s: ~ .l.\lfl - g I d. 4
P ( 1 Z r \J~ \ ~ .
(City) (Zip Code)
(Phone) C\ r ~~ l,\ l.-\ ) -~ \ d Y
DATE \~- \ -~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL 1::> r'J t'\ " -to ""1 ~S <'J\ V 0"';) <.J ~~ (] FUEL N C.\~
FLUE SIZEQ "l ~ RETURN OPENINGS INPUT \0 ~ -' <.\ ~~ OUTPUT S ~J ()~
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49,50 minimum
$149_50 Residential, Additions & Alterations
$64.50 Residential, AC Only
OWarm Air Plants
DGravity
o Mechanical ,
~ir Conditioning 1> /"J ~.-\T ).\1
DVent System t\ 3t\t'J N~ ."\
FIREPLACE MAKE AND MODEL
D Steam
D Hot Water
o Radiation
D Special Devices
D Other Devices
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
S$"OQ~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
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.
$49_50
$49.50
$49.50
Building Permit #
$'" ~ ~O
$
$ :)()~.....
.50
Paid 50. UlJ
Datlf Z-. t. Or
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
. Ref)tNo'59UO
By
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This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
,