HomeMy WebLinkAboutHeating Permit 07-0657
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
fC;C(L
SCHEDULED
h/{~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
k~
,
DATE TIME
7-),72')
7-c.n
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
///,,-
/ (J U >CC
(
~
~
0' '\
rr/~ )
I .~
---------
-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND.4CEED
o CORRECT wOI!i\ccL~R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
---I .-- ,- 0" 7
. c,~.
~. ~~~onw J~~icant I PERMIT NO. 07. O&S~
"ease type or print and si/(n at bottom)
ADDRESS
/{p/vtp
f'l 6& f-1o!ZE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANT ~
(Name) fJc:rJ'-. Jlec:.7hc C10f A if
(Address) J hoClJ -;)C?/i1 Ave ~ I
(Address)
(Contactpen;on) K01 ?c::/,Ii II 'S AMr ?"'Ui
APPLICANT SIGNATURE '7 c.- (,--~". - - I
(Phone) tfSJ. -. ><9 ~. dt.J. 5J
j c..tL .ev'lll <- Sl'oLJ L.f
(City) (Zip Code)
S) (Phone) 9 r.J. ' )r~ &-...... ;).;:lJ-)
,... :l \-6 -,
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
r'URNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
DWarm Air Plants
/~
'-.;:- g~ir Condi~ioning ...J
:J'v (lit. Sy ~l~m
D Steam
D Hot Water
D Radiation
D 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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
?q ,7
..J ;'...... '"
$
$
$
.50
?-u.. ~ V
Buildin!! Official
Date
Paid4-0. (/ C
Date1 z...C,c,'7
()
RfiPt No. 5,-'9- Z-I.., 0
~.
U
(Office Use Only)
....his Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372