HomeMy WebLinkAboutHeating Permit 09-0896 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDU�ED � .23 �
ADDRESS ���� �9c�1lJ
OWNER CONTR.
PHONE NO. PERMIT NO. �'J�� �4
❑ FOOTING ❑ PLUMBING RI ❑ EXIGRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAI
❑ FINAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION � MECH FINAI Q
COMMENTS:
IJf�WORK SATISFACTORY, PROCEED
�p CORREC N AND PROCEED
❑ CORR T K, CALL FOR REINSPECTION BEFORE COVERING
fnspector: OwnertContr.
CALL 447-98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH d� SAFETY!
uvsrvor,
� �� PR I���
CITY OF PRIOR LAKE Date Itec'd
� � HEATING/AIR CONDITIOIVING/FIREPLACE PERMIT
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1 NNBS��
1. Pidc Fle � � � � � �
z c� a PERMIT NO.
3. Yellow Appliont
ease or rint aad si at bottom
ADDRESS ZONING (oesa nse)
y� C� �'O�lte�' S�. S� �o�
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LEGAL DESCRIPTION (oflF'ice use oniy)
LOT BLOCK ADDTITON pID
(Na.me) R ��� (�± ' P. � �V"�`-'�,, (Phone) "1 � C� �.V� ��7'
(Address) ��(,m.e �j ,S` �
APPLIC •
(Name) �����i�"l�`�!11i'1� _ ��n� (�phone) ���. (p
(Address) �rLl�l l , G�,l�'1 � - ,, • �-bu � S /'Gt.r /�. �J `7�
(a�s� cary) (z�P c�)
(Contact Person) � � � (Phone)
APPLICANT SIGNATURE ��� °) i DATE � I(� ` 2 q D�
APPLICANT PLEASE COMPLETE BELO`W
�NEW CONSTRUCTION REPLACEMENT [] ALTERATIONS
FURNACE MAKE AND MODEL _.�,���.'��i T G S �� FUEL
FLUE SIZE RETURN OPENINGS INPUT 4'O, �Q OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
�Warm Air Plants � S� PLEASE NOTE: Air Conditioner
Units and Fjreplaces Cannot Encroach
OGravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
�Air Conditioning ❑ Special Devices Fireplaces with Boa Additions or
❑Vent System ❑ Other Devices Cantilevers to the Outside of Buildings
Reqaire a Buildfng Permi�
FIREPLACE MAKE AND MODEL
FEE SCI�DULE
Industrial, Commercial & Multi-Family 1% of job wst Residential, Gas Fireplace . $49.50
$49.50 minimum
Residentiai, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 �
Residential, Heating Only (New Construction) $64.50 Residential, AC Only a49.50
Estimated Cost $ �O�Q '` Building Perrrrit #
HEATING PERMIT FEE $ �� . SZ�
STATB SURCHARGE $ .50
TOTAL PERMIT FEE $ • GY�
�oma use ooty�
This Applicatlon Becomes Your Buildfng Permit When Approved Paid �--� � Re ' No�� �
Dat�� 3 - � y
Buildlne Oftictal Date
24 hour notfce for nll inspecHons (952) 447-9850, faa (952) 44'�-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372