HomeMy WebLinkAboutHeating Permit 11-0430 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ( 2) t
ADDRESS q35et ?j - 0r t.T004, -
OWNER CONTR.
PHONE NO. PERMIT NO. 11 • 43
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL G SLINE IR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑ 4s r.,
v
COMMENTS:
0 (ose It-rt c L
WORK SATISFACTORY, PROCEED
❑ CORRECT A TION AND PROCEED
❑ CORRE ' ll i ' , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contra
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY.
INSNOTI
4 ?Ri CITY OF PRIOR LAKE Date Rec'd
`K HEATING /AIR CONDITIONING /FIREPLACE PERMIT
. F., ptic* kit''?' 5 3 //
•
In NESo �P 1. Pink F
. Grceo C ity PERMIT NO. / ( 4'30
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3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER `c
(Name} �✓ S k 1 (Phone) q 5 Lf - 7 - Lpd'
(Address) (' - 5 1 1 c--- l l> Oct
S te _
APPLICANT /ti t fr-� (Phone) ` 9- - `f 4-0- . -- 7 C P q ame ( � VVC3 `� ---143 Phone / -ter'
(Address) 1 l 2- Li D r1 (A.1 e < P✓ t & l.� c Y M f - SC
(Address) (City) (Zip Code)
(Contact Person) (A S / (Phone) i f 0 _ -S-7
APPLICANT SIGNATU • /�IL Q "" ( -- C DATE AV
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS •
FURNACE MAKE A;ND MODEL FUEL
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
❑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 A\ND MODEL
LA_ 9 wa L., „--,..t., � „
J FEE SCIDULE
Industrial, Commercial & Multi - Family I % of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & i JC (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating On' y (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
The Iviinnesota Statutes § 32613.148
"S1 RCI IARG " has been changed for one
HEATING PERMIT FEE $ year effective
STATE SURCHARGE $ .50 .Iuiv 1, 2010, until June 30, 201 1.
TOTAL PERMIT FEE $ 6 (._ The minimum surcharge for a "fixed fce" permit
( Office Use Only) is s,, beginning duly 1.2010
This Application Becomes Your Building Permit When Approved Paid, / _ a Recei No. /^ ? G¢�
`7 y lU 7
Banding Official Date Date ? / ! / B •
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372