HomeMy WebLinkAboutHeating Permit 11-0076 OATE TUAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (�
ADDRESS I y( op V�����
OWNER CONTR.
PHONE NO. PERMIT NO. I�' bO�Cp
O FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPIJ►INT
O FRAMfNG ❑ WA7ER HOOKUP ❑ FIREPLACE Rf
� INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL 0(aASLINE AIR TST
O SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: �r��
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V � Y -�n- (�. -4�.�`fr
O WORK SATISFACTORY, PROCEED
� CORRECT ACTION AND PROCEED
O CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
Wsnror,
� p RIp CITY OF PRIOR LAKE Date Rec'd
� �9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT Z. Z.��
� �
� '. p "� F ''e PERMIT NO. �
z creen ciry �' . O O Y/
3. Yellow Apphcant
lease e or ' t and si at bottom
ADDRESS ZOI�TING (o�'ice use)
14788 Oakland Beach Ave SE Prior Lake 55372
LEGAL DESCRIPTION (oflFce use only)
LOT BLOCK ADDITION PID
OWNER
(Name) John Noterman (Phone) 952-567-1197
(Address) 14788 Oakland Beach Ave SE Prior Lake MN 55372
(NameC I �J , `�' �� f � 6��1 �� (Phone �� � � v
(Address "�� � �`� � l,�l � 1 � II' �
� (Address) Zi C e
(Contact Person) � (Phone)�✓ �- l L . l � ✓��
APPLICANT SIGNATURE DATE I I'" t I
APPLICA LEASE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL r'��' ��Y� � PI' `1'� — a5 ��� �" FUEL /�/ G7
�. .
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
� ❑ v�ty ❑ Hot Water into Required Side Yard Setbacks.
chanical ❑ 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
FEE SCHEDULE
Industrial, Commercial & Multi-Family 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 # Th� Minnesota Statutes § 326B. (48
"SURCI-1ARGE" has been changed for one
HEATING PERMIT FEE $ �� •J� year effective
STATE SURCHARGE $ .50 .Ii�ly i, 201�, ar�ti` Jiene 31) ZOi t.
TOTAL PERMIT FEE $ The minimum surcharge for a "tixed fee" permit
(Office Use Only)
is $;> beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid e � Receipt No. /� 6 �G'
J lr � /
Date � Z + � By
Buildine Official pate
24 hour notice for all inspectious (952) 44'7-9850, fag (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372