HomeMy WebLinkAboutHeating Permit 15-0120 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 217'41C
ADDRESS / 3 3 J („...-/-1 //cLc S
OWNER CONTR.
PHONE NO. PERMIT NO. ) S D i 3
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ex/
COMMENTS:
Cf) K - C�
iff WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT WORK,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!
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04 pRlo ;"M"' CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
M'NNESO�� 1 Pmk Fde
2 c„, PERMIT NO. X42 v
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS _ ZONING come use)
iS33 IS Horry �(� !s 1(. 1.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER1 i
(Name) f */1) o(iSf (Phone) �, Z( ✓J
(Address) /5335 g'3 /-/orn Pas5it) .
APPLICANT
(Name)
(iO,u(v/-/e h I C
(Phone) _Sc 544-7-3(Address) z58 wachprudilazikeS 64,ofi1 * VW
,,
,,(Address) (City) �2�,� (kip Code)
(Contact Person) WO.0/C%6- � �1��� �ti"` (Phone) 9S? 6.E#5.
`7-4
APPLICANT SIGNATURE /Lei -ode„e4cii _ DATE 4 ./ / f
APPLICANT PLEASE COMPLETE BELOW
['NEW CONSTRUCTION j2rREPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL q E'3 R O vOO V ? , FUEL a OA--
FLUE SIZE RETURN OPENINGS INPUT \ 'c' ... OUTPUT e' C) ti`
TYPE OF SYSTEM HEATING OR POWER PLANT —
❑Warm Air PlantsPLEASE NOTE: Air Conditioner
0 Steam Units and Fireplaces Cannot Encroslch
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
on.Mechanical ❑Radiation
❑Air Conditioning ❑Special Devices Fireplaces with Box Additions or
:Went.System 0 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 $49.50
Cost$ /,p 88n, Building Permit it
The Minnesota Statutes§326B.148
"SURCHARGE"has been changed for one HEATING PERMIT FEE $
year effective STATE SURCHARGE _ '
July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ ,�,ffiff•�"
The minimum surcharge fora"fixed fee"permit 1
is Ss,beginning July 1,2010
This Application Becomes Your Building Permit When Approved Paid gesiiiirt No. C
Date.,
Building Official Date '
V
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372