HomeMy WebLinkAboutHeating Permit 10-0987 ATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED l � ��
ADDRESS ( ��'�/ ��-�� �/•U�(`
OWNER CONTR.
PHONE NO. PERMIT NO. I o 0
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION � MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION /� MECH FINAL ❑
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COMMENTS: � v N � � G
C �-F��Jv � t �
ORK SATISFACTORY, PROCE�D
❑ CORRECT AC ION AND PROCEED
❑ CORRECT K, LL FO SpFrrinu gEFORE COVERING
Inspector: ner/Contr:
CALL 44 850 FOR THE NEXT IN ECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
/NSNOTI
0 4 PRIp� CITY OF PRIOR LAKE Date Rec'd
,�,,,; � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
� ��r,� � x
C� M
�lN� I. Pink Filr
2. Green City PERMIT N�• � � �
3. Yellow Applicant �
(Please e or rint and si n at bottom)
ADDRESS ZONING (off use)
� `1 �-�-►� �.l �
LEGAL DESCRIPTION (oflFice use only)
LOT BLOCK ADDITION PID
OWNER ` J /�,
(Name) 1 '1 �� (Phone) ��� � ��LI U/`-(a�
(Address) I� a a.- S��Y� L� `.�l �
APPLICANT
(Name) �?�1�NSV�LLE HEATUVG &AIC, INC, (Phone) �/1���� �—���`�
. urnsvi e a way
(Address) SUlte 120
, B�rn�i�;e�SbN 55337 cc�ty> (Zip Code)
(Contact Person) �1.. (Phone) t �
APPLICANT SIGNATURE DATE I CJ'� �� D
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL �`���� „�5��}�L.I��-(.�LQU FUEL I��
FLUE SIZE i RETURN OPENINGS — INPUT OUTPUT . i
TYPE OF SYSTEM HEATING OR POWER PLANT —
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
� Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices Fireplaces with Box 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 #
I'hc Minncsota Statutcs ,��' 326[3.148
HEATING PERMIT FEE $ L...�� ,.,�� "SURCIiARGI;" has been chan�ed 1'or one
ycar cflective
STATE SURCHARGE $ ��' Julv I, 2010, until Junc 30, 201 I.
TOTAL PERMIT FEE $ cjy .�,7 Thc minimum surchar�c for a "fixed fcc" permi
(Office Use Only) is ti�, bcginning Jul}� I, 2010
This Application Becomes Your Building Permit When Approved Paid � �/� Rece� No. /!� �)
�f c,e 7 v
Date `� Z . � d B
Buildina Official Date •
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372