HomeMy WebLinkAboutHeating Permit 09-0029
DATE TIME
CITY OF PRIOR LAKE Lf*-
INSPECTION NOTICE SCHEDULED
ADDRESS Hlt.r,,"? , CruJ.,~L
- .....
OWNER CONTR.
PHONE NO. PERMIT NO. q () od-1
I f
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 )2(. MECH FINAL 0
COMMENTS:
/\/ \\ ().
l ~ ~1 'h \ Ii
- - ......... .........v v' ~
A. WORK SATISFACTORY, PROCEED
o CORREWCI10N AND PROCEED
o CORReCT WlJRK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
'850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"'SNon
CII i OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. z"z-, 01
(PIeue t}'Je or print aud sian at bottom)
ADDRESS
~. =.. ~!~ I PERMIT NO. 09 OOZd7
3. Yellow Apphcant ." 7
ZONING (office use)
LOT BI
09-15 MARIE I LOREN HANEL
16602 CREEKSIDE CIRCLE SE
PRIOR LAKE, MN 55372
952-447-2326
PID
LEGAL DEI
OWNER
(Name)
(Phone)
(Address)
(Address) _
MIDLAND HEATING AND AIR
413 WEST 60TH ST
MINNEAPOLIS, MN 55419
612-869-3213
(Phone)
APPLICANl
(Name)
(City)
(Zip Code)
(Contact Person) ./ /
APPLICANT SIGNATURE<..., ~J~
(Phone)
DATE
/ ~ 0- d1
FURNACE MAKE AND MODEL /2 Cd t1J) t1 t ;OQ .....07
FLUE SIZE C Ir RETURN OPENINGS INPUT 7 O. 00"
,
TYPE OF SYSTEM HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
APPLICANT PIJ:ASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA nONS
FUEL .1'1/ r;
OUTPUT S to 0.1
- , -
~arm Air Plants
LlGravity
o Mechanical
OAir Conditioning
OVent. System
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Bu!!dings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$49.50
$49.50
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ;.; 9ill
$ .50
$ ,~ f'I ;'\ "\
Buildlll2 OfIidal
I Paid 50, UU
Date I Date/.. z~; OC}
I
24 bour notice for alll.lpeetionl (9S2) 447-98SO, fu (9S2) 447-42'15
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
()
Re/ftNo. 57 Z-/Cj
I!y /
/- .
U
(omce Vie Only)
This Application Becomes Your Building Permit When Approved