HomeMy WebLinkAboutHeating Permit 07-0487
ADDRESS 4 \ 5S
DATE
SCHEDULED 6/-z, ~f 07
R~.~
o
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7 - l.{~J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o ~SLlNE AIR TST
o [..Le...
~/~~
COMMENTS:
^/
~rr
~V
':I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRErlrK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /' ' / i ~ Owner/Contr:
cAJl ~ /.98scwiR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/J'ISNOTI
'S
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and SilUl at bottom)
ADDRESS
1-\ \ S ~:>~'Jr~.S?t:.ex~ R ;,!\C\iZ -JRd_ ('~ J
,-._~I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~~e~~r\l"""Yu-A ,r:LrjJ...."'\~ f(-, \ ;:..... i
(Address) Lf'i\ :"'/~hJ~JpC~.-rn~ "~, ('\~~ p . "Itd~
APPLlCA.!'lT. ~ "'. ~ '
(Name) L Y~n (uSJ~'"')i\eT-:::') 'Jt.J~~rt~.-Hiz1
tI
(Address) (oq c")} (~. 11:...j,L~-:t=b-cy-. -iJ= U-C/
(Address) ,
(Contact Person) '- j \._J_J~.LL.
APPLICANT SIGNATURE ();"'-llJ.L L{ }[ju,-'"'y
Date Rec'd
I. Pink File PERMIT NO
2. Green City . 01. 4-81
3 Yellow Applicant
ZONING (office use)
PID2.\. 304--. DLL D
qc_ ~ -l I. !, '\ - '218 ~.0
(Phone) -~. "1"\"1-' C ,,..-I ,c-..
tj~ )
(Phone) qc~_:).... -q :>1- '7('11'1
(to D I eJ ( YlJJ.i!. J, l~5J;l'-
I' (City) . J (Zip Code)
. (Phone) q,:'J-+- -L.(:)\ - '70QQ
DATE l-, LJ -Or
APPLICANT PLEASE COMPLETE BELOW
-A'1e ...;. DNEW CONSTRUCTION ~P~ACEM~NT '", D ALTERATIONS
FUR}lACE MAKE AND MODEL V'f::.nr:Y~Yr::....- \--.\ '4/-\-1-t .")(_.- '~'-::; ich FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
8Air.!;:onditioning
ItJVent System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ l-\-{ "y..:..fS:-
I
$39.50
$39.50 ./
$39.50 v
Building Pennit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
'fliee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
~ c:'~~,
.j~l. ~-'
.?,g
I I, '\~-'--~
~----'.
Paid~
7.....(7)
Date c.. If ..Il
Receipt NO'51-t;04-
Bt
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372