HomeMy WebLinkAboutHeating Permit 11-0387 DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED 6 29t t
ADDRESS { ° os CV....x_t *" 1---ti
OWNER CONTR. (1 PHONE NO. PERMIT NO. (1 — 3 g 7
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION Ii MECH FINAL ❑
COMMENTS: F cjr , ti „, c .e 4- !q
■ as
1I
CSC_ • P
X WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR l RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto
irO Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
0 4 r RIO, CITY OF PRIOR LAKE Date Rec'd
a e HEATING /AIR CONDITIONING /FIREPLACE PERMIT
E., y f a x
1114VNESDCP . Pin PERMIT NO /�
2I . Green k File City / / Y]
3. Yellow Applicant VV
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
420 (hPuf Or F(i01 OW
LEGAL DESCRIPTION (office use only)
LOT BLOCK K ADDITION PID
(Name) I I K c 1 1 /I f / / r (Phone) L t O 3 D7
(Address) 0 Chfr)(tf L6?6 mor Car. �5. 7Z
(Name) I
fr lk,le r ci r lL T aI T h 6 ✓" `lL l , - lac
��JJ j ((�r / / Phone 55-37q (Address) 12010 f3 i(K 0 koi shard -
(Address) ( 07,..i.cide)
(Contact Person)
tioda (Phone) 1 1-�
APPLICANT SIGNATURE Y' �'
• DATE 5-1?-- 1 I
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION E REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL buyieY EH tAtOKO FUEL NCB
FLUE SIZE RETURN OPENINGS INPUT fOD OUTPUT ,
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
U Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water
[y echanical ❑ Radiation into Required Side Yard Setbacks.
Air Conditioning ill Special Devices Fireplaces with Box Additions or
EVent. 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
, ,v, t,,,,.,J„.0 .,,u,uL,o y ,,h.„1,.1-t0 )St $ Building Permit #
"SURCHARGE" has been changed for one
year effective
July 1, 2010, until June 30, 2011. EATING PERMIT FEE $ •,r. "1
The minimum surcharge for a "fixed fee" permit TATE SURCHARGE $ . r .50
is s5, beginning July 1, 2010 OTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid s`T s -r, Re e l .j _ 2,, y
Date /6 // By
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372