HomeMy WebLinkAboutHeating Permit 07-0485
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
JLi :;(/'1
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I J!-"( .1'...1
1_- -' V !>/...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
/
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'(j~~
I
DATE TIME
G - /5~c{,n
~ -7~ 4k)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
'GASLlNE AIR TST
o
r..
~
u
'WORK SATISFACTORY, PROCEED
o CORRECT ACTIONrND EED
o CORRECT W071iJC. OR REINSPECTION BEFORE COVERING
Inspector: 1/ r Owner/Contr:
[' '
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
11:34
CITY OF PRIOR LAKE
9524474245
1:),01
CITY OF PRIOR LAKE
HEATING/AIR CONDII10NINGIFIREPLACE PERMIT
lliate Rec'd
i: =~ ~:~ I rEJ.{MIT NO.O '7 0 LaS\
1. Yellow ApPUClII1' ~ *r o.
(Pla.se Me or"riJtt mu sign at bottom)
ADDRESS
/o/30c; 3/w 6/r-J /l~
ZONING- (Officease)
LEGAL DESCRIPTION (offic:e use only)
LOT BLOCK
ADDITION
PIDZS, 3(Pl,. ozA-.O
OWNER
(Name) ____.
grId:. ,~
(ph e) CJ~Z - 7 -z .5 - !?,J? ;;1-.:;2-._
. on c?'
(Address) ____I ~ 30 '1 ~ /t,q h'r- d /lc-
~~~~ANT,-'~(Yu+i Jt1.,eJJa-Mca~~Li-k~#hOne) q7z-tff7,-Z~tfO
2-/005 La,n7~~d ~ J~~~^-
(Address) (City) (Zip Code)
go/'? .... (Phone) ~/~-Z-2-1-~'T9~
/?:/7'-f ~~.'~ DATE 6-/5-07
jA..'L S:5.55.;z
(Addl'etls)
(Contact Person) .
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
[]NEW CONSTRUCTION D REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
/!I OVent: ~stc:;m
cqt~/- _9't?5/ ,,-rve-
~ANDMODEL
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Dcvicc:;s
PLEASE NO~['E:
Air Condition':~r Units
Cannot Encroll:ch into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alteratiol'l$
$64.50 Residential. AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential. Heating Only (New ConstJ'\lction)
S39.50
$3!'.~O
Estimated Cost $
Buildin~ Permit #
Building Official
. c.I~
1.50
~(), 00
Paid ~. (lZJ Rent No. !i,f-CI7J z-- I
Date; / / a-v
nlte {P. ('-1, () 7 7' .......
24 hour notiee for all il1$pedlons (952) 447-!.I850, fax (95:2) 441-4245
16200 Eagle Creek Avenue, Prio.. Lake, MN 55372
HBAlTNGPERNUTFEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This AppliClltion Becomes Your Building Ptrmit When Approved
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