HomeMy WebLinkAboutHeating Permit 07-0847
ADDRESS
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(~g'(7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 ~LAINT
o WATER HOOKUP ~ FIREPLACE RI
o SEWER HOOKUP@IREPLACEFINAL
o PLUMBING FINAL ASLlNE AIR TST
o MECH FINAL
COMMENTS:
----====----
.------........---
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND P. CEED
OR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;:'n ~:~ I PERMIT NO. 1 -' a .A --I I
3. Yellow Applicant o~
ZONING (office
use)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Gcr-0
~ y:,G,J)J J
(Phone)
q'::;1' lL(~~ '-0> n 'f
(Address) \Yl)l( ~,~C It!r\l S,c.,
APP Fireside Hearth & Home
(Na 20802 Kensington Blvd
(Ad( Attn Danielle Ostgard 9529856675
License # 20512060
Lakeville, Mn 55044
_ (Phone)
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE t3 '7l d,
ASE COMPLETE BELOW
o REPLACEMENT 0 ALTERATIONS
FUEL
APPLICANT SIGNATURE
PPLICANT PE
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVen!. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
ft tlJ}0 ~ &\,0
~
Gtl-AM J Y \
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
J~ 0-D ~)N' )
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
$ )'1v
$
$ '-t.0-
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
BuUdin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245