HomeMy WebLinkAboutHeating Permit 11-0790 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 91 311
ADDRESS 5 L04 4-,tavx., 0..#2,1"
OWNER CONTR.
PHONE NO. PERMIT NO. I — ��d
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRADIFILUNG
❑ FOUNDATION 0 MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION MECH FINAL ❑
COMMENTS: „l,teu. AC
•
\i WORK SATISFACTORY, PROCEED
lO CORRECT ACTION AND PROCEED
O CORRECT K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr.
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Iron
PRI CITY OF PRIOR LAKE Date Rec'd
° � HEATING /AIR CONDITIONING /FIREPLACE PERMIT
jNNESDcP 1 . Y Pink File 776
PERMIT NO. / /
3. Yellow Applicant i
(Please type or print and sign at bottom)
ADDRESS 1 ZONING (office use)
S g ut c LOS" 1 V V a" 1 Z1 (.■ - k
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) Q s' N S- e'"' (Phone) 3 a O... b 3- � a l (0
(Address) S 5 S L. OS\— 0.-; Z. W' `1 # ,(-e
APPLICAN � .,� i , C (� 1
(Name) \ 1 ✓' --1—..h k., (Phone) J a- A l- e c a ci
(Address) \ V (6 0 t( L v n—$. AA- Q fL V LAC (IL S 3`i -.
(Address) � �� � (City) (Zip Code)
ti �
(Contact Person) L I , , S (Phone) t k C - k Th -81 44. kit
APPLICANT SIGNATURE jA'. DATE ` 1 1 " ( k
APPLICANT PL ASE COMPLETE BELOW
❑NEW CONSTRUCTION MI REPLACEMENT CI ALTERATIONS '
FURNACE MAKE AND MODEL `J ci - s (J 1 V QLl a. ^V
0 V) FUEL , c/\4
FLUE SIZE e Y (... RETURN OPENINGS INPUT kOtl ) Z OUTPUT S `p
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWarm Air Plants El Steam Units and Fireplaces Cannot Encroach
❑Gravity El Hot Water into Required Side Yard Setbacks.
Mechanical t . ) 3,, El Radiation
it Conditionin �^ ❑ Special Devices Fireplaces with Box Additions or
['Vent. System ,b S �1 V "" _` ❑ 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-) 1 ne lvnnnesota Statutes s szo�. P "ost $ (. 0 0 Building Permit #
"SURCHARGE" has been changed for one l 1 C'
year effective [EATING PERMIT FEE $ ` "1
July 1, 2010, June 2011. TATE SURCHARGE $ S CS0
The minimum surcharge "fixed fixed fee " permit
is $5, beginning July 1, 2010 'OTAL PERMIT FEE $ 5
This Application Becomes Your Building Permit When Approved Paid 5 - 4 . s __ 0 0 Re - . No. /' (p 3 b,
Date ('V �
Building Official Date Y - (7, // .
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 /
4646 Dakota Street S.E., Prior Lake, Minnesota 55372