HomeMy WebLinkAboutHeating Permit 07-0569
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
hl(~
CONTR.
PERMIT NO.
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AN]3JlROCEED
o CORRECT WORtveAL.JOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I. Pink File
2, Green City
3_ Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
I L, I t4 ~8 \ rr-.6v- w
A-..Je-: S u
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNE~
(Name) \~ VL.l C. ~ r:1\ " " (" . '::::>' (')
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(Address) \L;,'4~ ~ \ mC'~-f>) 1\:v~. ~
Date Rec'd
PERMIT NO. 07.0 SltJ q
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ZONING (ofliceuse)
PID 2.6"". iro7 oS J .0
(Phone) q~y./- 2d-~
APPLIC~T I \
(Name) \ n" La. tl\'er~'9. '+h~i(~-+\!j. ~one) C\~-~3\-"i~q
(Address)1.d=\.~) W . \~-th~ . ~- lCi.o Cl~p _ \J(\' l-e 1-,\ ~la4-
(Address) I (City) J (Zip Code)
(Contact Person) lJ U \. In, (Phone) q ~ ~4 ~ \ - ., ~ q
APPLICANT SIGNATURi!~ Ct L uod~ DATE G:rd-Q-Cs,
APPLICANT PLEASE COMPLETE BELOW
~,~ DNEW CONSTRUCTION I)lLREPLACEMENT 0 AL TERA TIONS
~:':::1L\C:= f>1AKE AND MODELl\u..ucL -UANLO;;)..40Q L - '2 ~~ FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
~echanical
. Conditioning
Vent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~-:
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Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q. f:1:)
,50
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'''ffiee llse Only)
:his Application Becomes Your Building Permit When Approved
Paid
1f) ftV
Date1 .
. S. (0 }
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
~ceipt No, 5' tv b 1
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