HomeMy WebLinkAboutHeating Permit 07-0539
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIME
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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 AND PROCEED
o CORRECT WORK. ~ FOR REINSPECTION BEFORE COVERING
Inspector: , " I / Owner/Contr:
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CALL A47-9J50 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
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APPLICANT PLEASE COMPLETE BELOW
. DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
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t FURNA~E AND MODEL
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
Date Rec'd
t. Z-f~. () 7
~- ~i~~n ~!~~y I PERMIT NO. 07 053Q I
3. Yellow Applicant I
ZONING (office use)
PID
(Phone)
~ 9t:;:l'-'1YJ-8JJD
~'r LJ~ JtJIV $637 J.
(Zip Code)
-tJ7
FUEL
TYPE OF SYSTEM
HEATING OR POWER PLANT
INPUT
OUTPUT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
~arm Air Plants
DGravity
D Mechanical
~ir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
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.
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
$
$
$
3'1., rv
.50
40 " {~
Paid 40. (JO
DateG,. 25. {) 7
(
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake. MN 55372
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'his Application Becomes Your Building Permit When Approved
Buildin!! Official
Date