HomeMy WebLinkAboutHeating Permit 07-0503
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
carL AMfLunrrl J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
DATE TIME
7-23-'07
7--50<
.r
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ORK SATISFACTORY, PROCE
o CORRECT ACTI~AN~ P~
o CORRECT WO,(K. b~O~INSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE
HEA TIN G/ AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and siltJl at bottom)
ADDRESS
'3 :)~ L AMti-t.\.,.:art peL ~<C-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
---=-
J \5 \ \(\
s\~\s
~4.wDD'i
bQ-~
I (Address)
~:) ~""L
Date Rec'd
;: ~~ ~~;y I PERMIT NO. 0-1 oQJ'L
3. Yellow Applicant - -" '..:,;;}
ZONING (office use)
PID25". YIV. 064-.0
(Phone) q5~ -L\Cl('o-?iY2Q
APPLICANTlJ.... {\",y
(Name) ~~
7'1\_ "'.roo..\^ . \' otI\Ol A'c ~NI CL \~-
Y \...A~~I\\-..YJ, \",..q (Phone) (oS\-7 J~- Q,O'\I
(Address) 505 \2rWCXfh ~
(Address)
(Contact Person) ~~L r l.o.UQ\or&
APPLICANT SIGNATURE ~!S\i\il ~~ll~
~~ t'v\I\ '6 ~ 02
(City) (Zip Code)
(Phone) loS\. - ~ -'{ot l
DATE ltJ la' D1-"
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION (I REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64.50
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
Q'Air Conditioning 1'('QX"\(. 2.~
DVent. System \'-\5.U~ JOI\
FIREPLACE MAKE AND MODEL
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Industrial, Commercial & Multi-Family
INPUT
OUTPUT
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, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'')ffice Use Only)
:his Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
?9\.'30
.50
'L\u,rf)
Paid .f(), (/0
Datet j/}. u7
Ret)Pt No, -.!:J ~ 6 ZtP
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