HomeMy WebLinkAboutHeating Permit 09-0928 DATE TUAE
CITY OF PRIOR LA4CE
INSPECTION NOTfCE SCHEDULED ,Z 2 I�
ADDRESS ` � �6 �S + �(,���
OWNER CONTR.
PHONE NO. PERMIT NO. �— Z�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WA7ER NOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HQOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL O GASLiNE AIR TST
❑ SITE INSPECTION �S. MECH FINAL ❑
COMMENTS:
,
�WORK SATISFACTORY, PROCEEO
p CORREC7 ACTION AND PROCEED
❑ CORRE K, CALL FOR REtNSPECTION BEfORE COVERiNG
I nspector: OwnedGontr:
CALL 447-9850 FOR TFiE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYI
rNSnori
. � �� PRIp�
CITY OF PRIOR LAKE Date Rec�d
� D� HEATING/AIR CONDITIONINGlFIREPLACE PERMIT
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'�'NES�
'. P "''` F; '` PERMIT NO. Q G� v Ct
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3. Yellow Applicant � U
lease or ' t and si at bottom
ADDRESS ZONING ��a« �>
�-�- 8' �OUr�r' Str�e�et S�
LEGAL DESCRIPTION (oflice use only)
LOT BLOCK ADDTTION PID
o�R v � 1 q5a4�o��a
(Name) � � �� � 1 � (Phone)
(Address)
APPLIC T + j,� /� /�
(Name) �������L�. �[a� (�Phone) "1�2-'"1 �0
(Address) `171�11 � / / ,l � TNG ' - '"`��! S /"�U' 1�.. ��`ToW�
(Address) (City) (Zip Code)
(Contact Person) 1�1 (Phone)
APPLICANT SIGNATURE DATE � �— �o D/
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL �-�t I I�`'� �� J ��a FUEL
FLUE SIZE RETURN OPEI�TINGS INPUT OUTPUT
TYPE OF SYSTEM HEATIlVG OR POWER PLANT
PLEASE NOTE: Air Conditioner
�Warm Air Plants ❑ Steam Units and Fireptaces Cannot Encroach
❑Graviry ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiaaon Fireplaces with Box Additions or
❑Air Condi6oning ❑ Special Devices
❑Vent. System ❑ Other Devices Cantilevers to the Outslde of Buildings
Require a Building Permi�
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Mulri-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, FIeating & A/C (New Construction) $149.50 Residential, Additions 8r. Alterations $49.50
Residential, Hearing Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ O Building Pernrit #
HEATING PERMIT FEE $ �' �
STATESURCHARGE $ 0
TOTAL PERMIT FEE $
(Oftice Use Oaly)
This Applfcation Becomes Your Building Permit When Approved Paid Re No. ��j U
l
Date � ( � � ' By
BuildinQ Ofticial Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372