HomeMy WebLinkAboutHeating Permit 10-0826 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2 - � -1+ � - �
ADDRESS �Q (D� Cr ( 1�' ( V'ET _ _
OWNER CONTR.
PHONE NO. PERMIT NO. � Q� S Zl,�
❑ FOOTING O PLUMBING RI ❑ EXlGRAD/FILLING
0 FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING � WA7ER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAI.
❑ FINAL ❑ PLUMBING FINAL ❑ GASLfNE AIR TST
❑ SITE INSPECTION �MECH FINAL ❑
COMMENTS: �, �Q,
GSe ' ��
�WORK SATfSFACTORY, PROCEED
❑ CORRECT AGTION AND PROCEED
❑ CORRECT W RK, CALL FOtiRE4NSPECTION BEFORE COVERiNG
Inspector: Owner/Contr:
CALL 447-98 SPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAF�TY.�
INSNOTI
,� p Rip CITY OF PRIOR LAKE Date Rec'd
� �� HEATING/AIR CONDITIONING/FIREPLACE PERMIT � � �
� �
q�
�jNNES��� 1 Rnk F�le PERMIT NO . O �L{
2 Green City , �
3. Yellow AppLcant v
Please e or ' t and si at bottom
ADDRESS � � � ZONING (oflece use)
I ` � /��'f � �G''
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLIC / /
(Name) � % � C�� � � (Phone) !D � ����0 "� 3 ���
(Address) 3 � �� /�.OI�^5�1 %/�� S'7� �j �� /��U1» /�'/��. �S'37�.
(Address) (City) (Zip Code)
(Contact Person) � G�� � P c� �! (Phone) �v� � 3 ° 3 �u
APPLICANT SIGNATURE ? � DATE �
APPLICANT PLEASE COMPLETE BELOW
�NEW CONSTRUCTION �REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL �Q� �Q�
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
�Wann Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
�Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices Fireplaces with Boz Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEESCHEDULE .
Industrial, Commercial & Multi-Fannily 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $ 9� ��
STATESURCHARGE $ S. .
TOTAL PERMIT FEE $ �t� ,
(Ottice Use Only)
This Application Becomes Your Building Permit When Approved Paid �, / S � R ei t No. �/� /
`7" �
Date Za �
Buildine Official Date '
24 hour notice for all inspections (952) 447-9850, ax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372