HomeMy WebLinkAboutHeating Permit 07-0850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
SCHEDULED
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OA TE TIME
q-1ro;
CONTR.
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PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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l
7-'~5V
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
If WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO K, CA EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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53"6"2-
Date Rec'd
~. ~i:~n ~~!~y I PERMIT NO. 01.0 a. r;::;"" I
3. Yellow Applicant U;:..A..J
SJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
L~; 11
or e-/7 e..
(Address)
(Phone) C}~ J-Vl.f-7 8,f~L;
BURNSVILLE HEATING & AlG, lNG,
3451 W, Burnsvllle Parkway
Suite 120
r (~ille, MN 55337 (City), " _(ZiP C,ode)
(Contact Person) r)lLJtt-~ -C- (1 (Phone) qr;)- ['C?c.f 000 \
APPLICANT SIGNATURE ,=)ILJ tL~ <:J ~U~ DATE 6"- (;;re; - 0 I
APPLICANT
(Name)
(Address)
(Phone)
q S- d-' fit? t./ 000 r-"
APPLICANT PLEA E COMPLETE BELOW
DNEW CONSTRUCTION
fURNACE MAKE AND MODEL L~'1 /1 OX
FLUE SIZE RETURN OPENINGS
EPLACEMENT 0 AL TERA TIONS
c:; 6/ V (5 c;, <3 ~-() I J FUEL;U <6'
INPUT t,(,OOO OUTPUT to /000
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
D Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity _ J. .
o Mechanical ~~
~ir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
PLEASE NOTE: Air Conditioner
U nits and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
$39.50
$39.50
$39.50
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
"his Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
$
$
$
3CJSlJ
.50
fo. t)c)
Paid 11>.1iJ
Date 0" to, () 1
Rec i t No. t541.t1
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372