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HomeMy WebLinkAboutHeating Permit 07-0489 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME ~ ADDRESS /49<15: ~(./'.. Ju ~ OWNER CONTR. PHONE NO. PERMIT NO. -; - qa7 o FOOTING o FOUNDATION 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 o EXIGRAD/FILLlNG o COMPLAINT ~E~~~ AIK T o COMMENTS: . .. iU9 ~fJ) \ WoRK SATISFACTORY. PROCEED 1'" CORRECT ACTION AND PROCEED ORRECyw1 Inspector: I -I I , 7 Owner/Contr: CALL 'Jktsso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSliOTI CITY OF PRIOR LAKE HEA TING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please type or print and sign at bottom) I ADDRESS J. Pink 2 Green 3. Yellow ~,'~ I PERMIT NO.07 DAM; Apphcant ... 't'" u- U , LEGAL DESCRIPTION (office use only) Ll '1l{~ ~0lklJ'.t t-( C-I~- 0)vJ ZONING (office use) LOT BLOCK ADDITION PID 2~. 307. 084-.0 OWNER (Name) -b H,.) \JI\ \(Ji A ~n :5,~~ .?'- (Phone) c:rl. ;70); p).; (Address) APPLICANT (Name) Fireside HeJth & Home 20802 Kensington Blvd. AnN Danlelle Ostgard 9529856675 License #20512060 Lakeville, MN 55044 (Contact Person) ~l-none) I APPUCANT_SI"NATURE ~i~PLEASE COMPLETE ~~~~W Go f>! '1 ~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT . OUTPUT TYPE OF SYSTEM HEA TlNG OR POWER PLANT one) (Address) (City) (Zip Code) OWarm Air Plants o Gravity o Mechanical OAir Conditioning OVent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Industrial, Commercial & Multi-Family FIREPLACE MAKE AND MODEL J/1z!h""'.,..,J"'bt0 c,J.D/'1.-j FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 (Office Use Only) This Application Becomes Your Building Permit When Approved Estimated Cost $ HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Pern:ti1 fh $ ~~U $ .50 $ 40/(/0. Buildinl! Official Date Paid 4tJ .' I/U Date&, (I ()7 R~O, 5'1~~J i By(. o 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245