HomeMy WebLinkAboutHeating Permit 07-0502
DATE TIME
CITY OF PRIOR LAKE '1}44-
INSPECTION NOTICE SCHEDULED
ADDRESS I 44 'l'a 'R\~, \oi~
OWNER CONTR.
PHONE NO. PERMIT NO. I - ~6&
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL , ~SLlN~ TST
o SITE INSPECTION ~MECH FINAL C -d- J 1"A-
~ "
COMMENTS:
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U \~WO Jj)/'tI ..\. _ \
~...- "--"" \..-
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----
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o COR~ WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto:" M Owner!Contr:
C . L(~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;;~~n ~~~y PERMIT NO. 0"1 .0'507-\
3. Yellow Applicant
(Please type or print and siltn at bottom)
ADDRESS
ZONING (office use)
/ '-/-t./1 ~.. B I UL 6~, V ,./' / V
)Jf
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z~ 310 . VOl. .0
OWNER
(Name)
Grej ~
S~~
) ItA
/h tfJ(
. /
(Phone) qJ.- r+ </l/L ~ / chf .3
(Address)
~~;~~~ '''::.M J' <l 'j j"" f-k <xL 'J ~ A /r> (phone) qS & A<; </- 000 c.:-
(Address)3<1..s J UJ fjUJt.AAJ'U I II v ~C( tflJu' (/JurA/v /ft./ S.C'-) ~ }
S. . (Address) I - (City) (Zip Code) "
(Contact Person) , ~t Sa 'lA ('\ r '\ (Phone) C) (' J- Jt; V CJcJ 0 S -
APPLICANT SIGNATURE ( )Zl.i. (&4-1 ( jj{-~ DATE {,' - / d - 0 7
APPLICANT PLEASE COMPLETE BELOW
DNEW C~N~TRUCTION ~EPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL 0(....a.--rt..~'7C. C, & / /Ill P'/ {, c e c7 '7/ FUEL N /-{ reA J
FLUE SIZE RETURN OPENINGS INPUT q / COO OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
~ir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
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.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
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
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
30 ~u
.50
L/t? . 00
'0ffice Use Only)
Buildin!!: Official
Date
Pai~A/ZJ
Date, r 7
r....,j, . t
Re4tNo~L .., -
77 :J If) (:~
Br
j
,'his Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue. Prior Lake, MN 55372