HomeMy WebLinkAboutHeating Permit 07-0640
crty OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /5/ /5
OWNER ~ ff
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
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DATE TIME
SCHEDULED
R/20/07
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CONTR. C)~ SWC::c::r-'
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/FILLlNG
o COMPLAINT
o FIREPLACE RI
;g FIREPLACE FINAL
o GASLlNE AIR TST
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~ORK SATISFACTORY, PROCEED
~ ~'ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ , Owner/Contr:
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ({ SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
!Ys/o 7
I PERMIT NO. () 7- 06,,(p
File
City
Applicant
,dease type or print and siJ~n at bottom)
ADDRESS IS-liS /'^ARtiNSON Isla.Nd. Ro"d
PRIOR Lltk'E fVtN SS~;2 3
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LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
BLOCK
ADDITION
PID -ZS _~);;. OlO..O
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(AddreSS)jr//o /I1MiJAIS't>Il116/qNJ JoN} f;lttJA IAN+> MAl 5S~.;2,3
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~:;~fAN~ SlwM1/-.!f;t~fSN.eep cJ.,fflll'':f ~hOne) ~ - 997 - ;35t!J ~
(Address)2/S/ /~ /tl) ~f_ /JA/JID V~/I~ 14r./ .:5-S/,1l~
(Address) ~ (City) (Zip Code)
(Contact Person) ;::J;"'"M SA1A~1 (Phone) ?~ - 99?-3S'()~
APPLICANT SIGNATURE ~~~
V.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE 91( lrouJt/d RETURN OPENINGS INPUT OUTPUT
,
TYPE OF SYSTEM
(Phone)
9S"Jt- ~-9'7-~
DATE
PLEASE NOTE: Air Conditioner
DWarm Air Plants D Steam Units and Fireplaces Cannot Encroach
DGravity D Hot Water into Required Side Yard Setbacks.
D Mechanical D Radiation
DAir Conditioning D Special Devices Fireplaces with Box Additions or
DVent. System D Other Devices Cantilevers to the Outside of Buildings
J / Require a Building Permit.
FIREPLACE MAKE AND MODEL t< o=2:Y - 1:kt:L~ .htaplt;ce
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
HEATING OR POWER PLANT
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3'1. So
$ .50
$ L/(J.oO
(Office Use Only)
'his Application Becomes Your Building Permit When Approved
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7/23/0 ,
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Paid II.....
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Date 7/2-'3/07
Receipt No. 512V I
BY~.
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Build!n!! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372