HomeMy WebLinkAboutHeating Permit 07-0570
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/" Ie 00
ADDRESS
4cJ2-C{
~'tJ v<-rI ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ -570
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL / 0
~1 / ~{_
/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
/'
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'WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
/ CORRECT WO~KnC,o:}OR REINSPECTION BEFORE COVERING
. Inspector: ()/ r / Owner/Contr:
. . I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink
2 Green
3_ Yellow
File
City
Applicant
PERMIT NO'OI ,0670
,
(Please type or print and si~ at bottom)
ADDRESS
'-t 0 ,~ ~ ROo.... N_~~ -e -' C:::;, . (~E--,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNERf'i . _ 1'::::' . ~ r r- . \ .~ '".
(Name) ~r:t\ \ \ '\.. c_ "yeT"l t'-....\~. LS:-'~
,
(Phone)qc)) 440 - s~) :.-)~.'-
" I r
(Address) ~ C)31;'-\ \\C~.c,,-rc-=,Y"'\ ~~. "':::;t--; :')(- )
APPLlCANI.., ~ c r , .1 I r. c: ..... .' ~ _ A/":o'
(Name) L~~ L.J::1l \ (:-' rC'-, '---~-.l-t..t'L-::;;, re!' . --rm. (Phone)""-i-... "")c;>( --~4..:) I !C.f~~
{ (1C",,^ I " '\.- I( -1:D..<:'-i.. .~ Ir----( '- In ...,...... , i.--.."..s-, """1'1
(Address) r\ - f\ 1 J L.1 I. ,. ~.' \~1 . < -+-+-- ,~ 1-....1 .. --j'l") (~_ IJ \ ~ l.p, \ .J- O'-t-
(Address) J t. t~ (City) . ) . (Zip Code)
(Phone) C)c* -L~?)\-f('j1("~
DATE (c,,- a "1--{j 7
(Contact Person) ,--.rl t. \ 'l -("--)
APPLICANT SIGNATUREi~l~c. iJ , ( ,,}'it~
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ..yl REPLACEMENT ~L TERA TIONS
FURNACE MAKE AND MODEL ~'-LUcL - L\EH.,";(~C)-7 ~'Cl ~ f .?, FUEL ~jCll '"J..rcd__
FLUE SIZE ':) .,1 RETURN OPENINGS INPUT -, c.. '") ('( U OUTPUT ~T) (ft"'1..j
- 1 '
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
-fa1\1echanical
~ir Conditioning
.1...-' DVent. System
"I (.
FIREPLACE MAKE AND MODEL ~\
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
i \ \(L 2. tCt~\ --\j~~ LC):J..,'-4
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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 $ L-h~ D . .
.,.
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.~C'~. :Xj
,5_0
q{ y-l:.)
'')t1ice llse Only)
Building Official
Paid /,~
rrv .' (/ l)
Date
Date '1-1 . Cj
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4~5
16200 Eagle Creek Avenue, Prior Lake, MN 55372
l"iPtND 5tt~' I
fhis Application Becomes Your Building Permit When Approved