HomeMy WebLinkAboutHeating Permit 15-0121 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS aw � S �q (Cr_ R
OWNER CONTR.
PHONE NO. PERMIT NO. 15. I
2
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❑ 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 ❑ MECH FINAL
COMMENTS:
o K.
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: ate., Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
Nation
of rxro� CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
��Neso�P 1.Pink File 2.YPERMIT NO.
/5, /�
3.Yellow Applicant
(Please type or print and sign at bottom)
DRR'SSSW Z G (office use)
P
s rirl9 Cow l tr1or Ore f
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
m cki
(Name)
OWNER
7V ciWCo Phone�'1C - (4 9 7 .---7
ame (00
5(Address) 5. 7 ' 9 W lt7t (aE 54 2
APPLICANT p-
(Name) (UV15 l lechoo i CGII (Phone)iS` 11 t 5 €'SSe55
(Address) 202x6, Co(butoi Drive 5''OarO5Lg7q
(Contact Person) ��dc (Phone)C15/---�b —05S5
APPLICANT SIGNATURE ( A/V\oA.9 " DATE 9- 3-/5
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION 1 I ;PLA MENT ❑ TE TIONS
FURNACE MAKE AND MODEL Q'MO E ,,E1 to(1 H�X� FUEL
FLUE SIZE RETURN OPENINGS INPUT 40,0 OUTPUT �,20
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 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 Residential,AC Only $49.50
Cost$ Building1Permit#
HEATING PERMIT FEE $ `ia.50 -
STATE SURCHARGE $ 00 "
TOTAL PERMIT FEE $ Fjt ,� •
"I illi
This Application Becomes Your Building Permit When Approved Paid twin-ceipt No. , 1
Building Official Date Date Ifc ,:y
24 hour notice for all inspections(952)447-9850 e
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372