HomeMy WebLinkAboutHeating Permit 09-0063
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
35&/7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~~j01
(JJ;Ui1UJ kk ~t-.
CONTR.
PERMIT NO. .lJ! - 00(0 ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.;} ~LUMBING FINAL
/'-. MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
^ . ,(\
( \ I II )
~ . O~ ,r---t\/'J..
-V
A.
( : (
~'-f'
-~ WORK SATISFACTORY, PROCEED
/0 CORRECT~ AN AND PROCEED
o CORR~ ' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
C.,6' "'AV~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please type or print and si~n at bottom)
ADDRESS
3 6~, 1AJ~\ \~beQL\) ~.'C>U
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~Ll\ ~'I \ \ lCl..-mS
(AddressD~Lo--' Lo-)I \ \l~-~l('.h~)t- ~ . \
APPLICANT
(Name)\n~ \. ~f~,-ttb'l1e..+t(J
(Address)(ci1 ';)(, G'). 14 /) -L'" >\ . . ~ ICXL>
- (Address) I
(Contact Person) J LL\ \ CJ "' _
APPLICANT SIGNATURE ()L.o....tL ~
Date Rec'd
1. Pink
2. Green
3. Yellow
3. z-~ oq
/
I PERMIT NO. 09. OO~JI
File
City
Applicant
ZONING (office use)
PID
(Phon35;:l-440- 1 ~ 75
(Phone) q~- L\;~-JocrJ
(\ nr>\P. \ {CL'IPL\ . C-6bJ-i
r i(City)' 0 (Zip Code) ,
(Phone) q~~\-10qq
DATE c9-~+01
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~EPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Cor (' \ ~ - ~ g Y\\ \J C-O ~a FUEL ~.I LLfo.J .J
FLUE SIZE (0\ \ RETURN OPENINGS INPUT ~O an OUTPUT
.J
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
OG9.vity
~echanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
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.
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 4 \00 .
~
$39.50
4q.~
m~
$39.50
Building Permit #
HEATING PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
$
$
$
Liq.60
.50
~c.:.L).
'--A. 'J.
paid.5O, vV
Dat:J, 7-. d'1
/)
RefjPt No. 57l.--f''Z--
y-,
C
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372