HomeMy WebLinkAboutHeating Permit 07-0849
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I 1508 ~
OWNER
DATE TIME
SCHEDULED q I II I C7
.t)1J.11 a t'?"}S'~ IF
, .
CONTR.
PHONE NO.
PERMIT NO.
7 - B'Icz.
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
o EXIGRAD/FILLING
o COMPLAINT
l!r FIREPLACE RI
o FIREPLACE FINAL
~GASLINE AIR TST
o
/- 'P~ ~~~(~ ~ ~
o WORK SATISFACTORY, PROCEED
~ORRECT ON AND PROCEED
o CORR , CALL FOR REINSPECTION BEFORE COVERING
Inspe r:
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;:~n ~~~y I PERMIT NO. 07 108.4.0 I
3. Yellow Applicant , ~ '
lJ~~~\O(5Q IV
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~
(Name) e..
(Address) I. 0
(Phone) qlj'd -;)'dL, - ;).!5(~f.t,
N 5537~
(phone) 15d-'fiJ - Q).7G
~rd~ ~ ,~535~
, (Ci~ (Zip Code)
(Phone) 1.&Jd-'f9;) - 9;).7lo
~ -;2., 0
~'LL
APPLIC~ ~ I L U
(::::,) -~ ~)i .. .~:kt I~~
~d'~")
(Conto"Pe",oo) -=:f\.l .. iC~ 4J'
APPLICANT SIGNATURE '
DATE
APPLICANT PLEASE COMPLETE BEL W
DNEW CONSTRUCTION 0 REPLACEMENT ALTERATIONS
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
FUEL
OUTPUT
fURNACE MAKE AND MODEL
DWarm Air Plants
DGravity
IilI Mechanical
tJAir Conditioning
OVent. 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
FEE SCHEDULE Ihin.~~
I % of job cost Residentia~s Fire~
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3Q.SO
$ .50
$ 40. DO
Date
Paid 40 .0 0
Dat<>q .(O~lJ
t o. b11Pt&
(Office Use Only)
~his Application Becomes Your Building Permit When Approved
Buildin!! Official
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372