HomeMy WebLinkAboutHeating Permit 07-0510
DATE TIME
CITY OF PRIOR LAKE ?--- ).~
INSPECTION NOTICE SCHEDULED
ADDRESS I}:, I I 155 fl..- Sr
OWNER CONTR.
PHONE NO. PERMIT NO. 7- 57 ()
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
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 o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
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COMMENTS: Yvv-vt /. . ~
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4WORK SATISFACTORY, PROCEED
/~ CORRECT ACTION AND PROCEED
o CORRECT W~K~~R REINSPECTION BEFORE COVERING
Inspector: J/ VI /' Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY!
INSNOTl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMIT NO
2 Green City . o~1- 0 c;-/ D
3_ Yellow Applicant _ "
(Please type or print and sign at bottom)
ADDRESS
C, I ", ! ~ ,--t-\')
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ZONING (office use)
c:-- , ' ("'c,
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z-f'.llt( 0 1Z- ,0
OWNERC. jp r: . :-..
(Name) l TIJI-(J\ C, l.:r..J.:--rqf='_) (U L l i r".r-.
(Address~-SL-:JI f~ I ~:i31=h ~~ Sl:~
or::.. ..~ ~'(' ,1~C' V
(Phone) a~~~t/" ~"\U,..: -#'--(-1 _.J-J<J
APPLlC~T I ''\7' h;'~ c .c-"-'" .. \.....-:-..fI ,.~ ()c~'"""\ -I.! ."2J_ //(-vJCt
(Name) LI..l1\ ~'--)l \I~r~_) ',,->.l.!J'T'LJl0JO 'j \'-':'J' (Phone)--',---F- '1~_..f '/1....11,/
(Address) (Pqfi.l Lt). ILIG~ C"i- *,[C~~ Grr)/~'" 'L ((\"f-LJ c--p '\'-~~
(Address) (City) i (Zip Code)
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(Contact Person) ( )t \.. L_,. (Phone) C)(:~.d--~3\ ~ '70QQ
APPLICANT SIGNATURE '{lll(.(Cf (Ll~... DATE (:,,,-12--('\1
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEd! C\I ri-!Lj'-- - c-'.{Z C'l----A-C-,-l (~ FUEL 1~,_L~(
FLUE SIZE &"'f RETURN OPENINGS INPUT ,-.-' C,.., (Y..l~ OUTPUTS'-t , (j(..J'_'\
TYPE OF SYSTEM REA TING OR POWER PLANT
DWann Air Plants
OGravity
Z1l\dechanical
JAir Conditioning
DVent. 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
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ :J... L::::-q '-\ ~
Building Penn it #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3C-i . StJ
.50
,l{"I.l:,1_:
'mee Use Only)
Building Official
Date
Paid 40 . ill)
Date l.o, vV,vl
RT1pt N.o5lf()3J
BYV
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fhis 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