HomeMy WebLinkAboutFireplace Permit 04-0619
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S02
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED /1?~~
/ {f
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CONTR.
PERMIT NO.
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~II{EPLACE FINAL
o GASLlNE AIR TST
o
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4:7 /c-
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j~ORK SATISFACTORY, PROCEED
a ~ORRECT ACTION AND PROCEED
o CORRECT WORKmn~SPECTION BEFORE COVERING
Inspector: / '? r Owner/Contr:
~ ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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PERMIT NO. t!7r- 6//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S'~~
OWNER
CONTR.
PHONE NO.
IJ FOOTING
IJ FOUNDATION
IJ FRAMING
IJ INSULATION
IJ FINAL
IJ SITE INSPECTION
IJ PLUMBING RI
IJ MECH RI
IJ WATER HOOKUP
IJ SEWER HOOKUP
IJ PLUMBING FINAL
IJ MECH FINAL
DATE .,..
IJ EXlGRADlFILUNG
IJ COMPLAINT
IJ FIREPLACE RI
IJ FIREPLACE FINAL
~SLlNE AIR TST
IJ
COMMENTS:
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~ORK SATISFACTORY, PROCEED .
CORRECT ACTION AND PROCEED
/' IJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWner/Contr:
- ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
L Pink File I
2. Green City PERMIT NO. 09-- .0 (p I '7
3. Yellow Applicant
(Please type or print and si~n at bottom)
ADDRESS
SZfIL ~h/~ Wt>~(~
LOT (~ BLOCK
D.r ,U [
~\J\
~
y/ ")I ->. ,0
I ADDITION /"/ Rp/Qr/. T7J ~..J' ffl~
d'41S
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
)(Dj ~
tJ (r~ W-
I
~ti
(Phone) 9-J2 -2-) 7 ~U> 10
(Phon~) 9!;2 - Wr;)-'j.)$ rS'
ftlD--rL~
(Address)
APPLICANT
(Name)
~rr
W(l? 11-
/
ZONING (office
use) ~ /
PID Z- t...? .tf- o. () () (, . tJ
(Address) A^,1
. <;'1 (2- ~.: b{~ _uJO{t~Q_ fir _IV 1
.r _ ~AddresS) r n t~ I J-
(Contact Person) ~ A M -j VL' (Phone)
Mt'LlCANT SIGNATURE r ~~)~ A.d DATE
S{PPLICANT PLE;Sl'COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
SS3/Z-
(City)
t1~a~
&-22 -0,'1
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
~~~-~~~~ t~&O
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # () q:,. 0' / r
$ :S'1.J-o
$
$
.50
4-0 J cro
(Office Use Only)
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
--1'--'-----....---.-,.
(Zip Code)
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50