HomeMy WebLinkAboutHeating Permit 11-0714 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /4/ /
ADDRESS -) -- ant. ) 5)1Ne. __ _.
OWNER CONTR.
PHONE NO. PERMIT NO. (i — ? r
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ JNSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
REEM1 .
/if Al.
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT W RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CALL 7 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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� CITY OF PRIOR LAKE Date Rec'd
HEATING /AIR CONDITIONING/FIREPLACE PERMIT
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INNEsdo 2. 1 Pink F /f l `r
PERMIT NO / i 11
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
`t0 /5 Brqham Blvd NE Fhor [a e
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) 101 OV`f Nf(J �e/ f ` (Phone)LO 2 -1C07
(Address) 4 SrQVqI'7C4rt) o r 1if Tor VW 9 3 T 2
(Name) I 1 , "' ` Cha1 (i UA1 6 (Phone) 52 LH 5 0585
(Address) (20 Old 9r1•6 )00 SivrOpee 5537q
(Contact Person) U (Address) (i Code)
(Phone) PL if f5 0T
APPLICANT SIGNATURE 4 YCI L. V1/4.a- DATE 8 - o9 - 1
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION [REPLACEMENT El ALTERATIONS
FURNACE MAKE AND 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 0 Radiation Fireplaces with Box Additions or
[ Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
['Vent. System ❑ Other Devices
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 44.50 Residential, AC Only $49.50
Estimated Cost $ "f Building Permit #
HEATING PERMIT FEE $ C l. •
STATE SURCHARGE $ .1 .54--
TOTAL PERMIT FEE $ . "•
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid -/ IT Recei / o. (
A / By
Building Official Date Date a Y' ( / / •
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372