HomeMy WebLinkAboutHeating Permit 09-0926 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � ��; l� '
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ADDRESS � �j � L� �2 �
OWNER CONTR.
PHONE NO. PERMIT NO. �^- g2 �p
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRADlFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION � MECH FINAL 0
COMMENTS:
Co �lo
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
I nspector: OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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CITY OF PRIOR LAKE Date Rec'd
� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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�. r;,� File PERMIT NO.O O Z
z. � �ry
3. Yellow Applitant �
lease e or rint and si at bottom
ADDRESS ZONING (o�« use>
��-ag To� s-��.�t s�
LEGAL DESCRIPTfON (office use only)
LOT BLOCK ADDITION PID
(NW�NER L VI �� �v 2 ' �, �J �� (Phone) � 5� � g 8' � 1 � �1
(Address) S �+U(Yl� a S ��b 5��'
APPLIC_ � ��,gU1�,�,�t'�1!11�`l� .
(Name) �) 1 ��h T (�Phone) ��2.� "1 �0
(Address) S��V�� �/�,� � • . ��t � � �'LU /C.. �J `7�
(Address) (Ciry) (Zip Code)
{Conta.ct Person) � (Phone)
APPLICANT SIGNATURE I � DATE I� ���
APPLIC PLEASE COMPLETE BELOW
�NEW CON TRUCTION REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL �/�,� ()l,` 1/ TG " 1 SO� IS�� M�II �L
FLUE SIZE RETURN OPENINGS INPUT OO OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
OWarm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
�Graviry ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiadon Fireplaces with Box Additions or
❑Air Conditioning ❑ Special Devices
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL `
FEESCHEDULE
Industrial, Commercial & Mulri-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & AJC (New Construction) $149.50 Residenflal, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ � � Building Permit #
HEATING PERMIT FEE $ � `�
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Oftice Use Only)
This Application Becomes Your Building Permit When Approved Paid �� Rec t No. U �
Date (� � By
Buildins Ofticial Date �
24 hour notice for all inspections (952) 447-9850, tax (952) 447' 245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372