HomeMy WebLinkAboutHeating Permit 07-0645
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
!:,O J-
!hv~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIME
7~ 3o~
I. (04-5'
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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f ( \::;J
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"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND~EED
o CORRECT WOr' C~~R REINSPECTION BEFORE COVERING
Inspector: I/;Y Owner/Contr:
, '
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
,dease type or print and si~n at bottom)
ADDRESS
/:;S-;) d- f/-a V k 0 Y
Pia (~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER rY-l
(Name) I / / art fL. n
(Address) S' A;..fVL ~ ~
L) C( II f/ /
APPLICANT
(Name)
8URNSVILLE HEATING & AlC, INC
J451 W. Burnsville Parkway
Suite 120
'"' Burns.,m~IMN 553. 37 ~I
(Contact Person) di'l.sll.-~ n '
APPLICANT SIGNATURE jltJa'1o'( (-:,,'IL~
(Address)
Date Rec'd
1. Pink File PERMIT NO >t
2. Green City . 0 7 O(J:I-.:;;.
3. Yellow Applicant
ZONING (office use)
~/~
PID Z~ LM .O(J~ ()
(Phone) c;L~ J '-I-t./- s,-L/Ol./O
(Phone)
e'JS- d- 19 s/ UUt.')r
(City) (Zip Code)
(Phone) qS~J- cP.:;?y. 000 S-
DATE 7-/7-01
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION !If.H.EPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL L FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
OVen!. System
o Steam
D Hot Water
o Radiation
;)..s;TtJr) D Special Devices
o Other Devices
Le nil frf.
FIREPLACE MAKE AND MODEL
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.
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
$
$
$
.3 9. 57.)
.50
4tl,,:.o1J
Paid ~)
7" (.. '" {./{.J
Date "7 Z- 3. l.l7
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt No. 9"24-.3
By ..1f%L
/
10 o~
"his Application Becomes Your Building Permit When Approved
Buildin!! Official
Date