HomeMy WebLinkAboutHeating Permit 14-0527 J' `
DA/TETIME
CITY OF PRIOR LAKE SCHEDULED 2140:j I G
INSPECTION NOTICE 1 v
ADDRESS Li"1.3 t 00C1.8A..\M- —
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OWNER CONTR.
PHONE NO. PERMIT NO. I L4- g-7
❑ FOOTING ❑ 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 13-MECH FINAL 0
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COMMENTS:. P +-0-4‘,..4.t,
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WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR T ORK,CALL FOR REINSPECTION BEFORE COVERING
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Inspector. Owner/Contr.
CALL 447 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
2810 CITY OF PRIOR LAKE Date Rec'd
' HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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1.Pinlc File PERMIT NO. I' /
41NNESOKl' 2.Green City /4. {�1�Gk��///
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3.Yellow Applicant T / J
(Please type or print and sign at bottom)
ADDRESS / / ZONING(office use)
!41-4.3 9 ra
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LEGAL DESCRIPTION(office use only)
LOTS. BLOCK V ADDITION e r1 �, ids y /( j,J PID j-3i l-O//-0
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OWNER "--1-
(Phone) qsd . 2 . g J cl
<–(Name)_k / )et v �1� c v
(Address) -I y31 (aa c' h ✓Y) A L a n�
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APPLICANT fi/ /
(Name) Pr o, t / z•A � –4. C___�. (Phone) cis-d b3S7
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(Address) 7S- b Iit1:144h2 A v< S E / n A,.y,' S J c-/L/
(Contact Person) v 0 t —. (Phone)
APPLICANT SIGNATUREkil\ 4DATE C ic) / / (--/
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION I 'REPLACEMENT ❑ALTERATIONS
FURNACEMAKEAND MODEL .B P YAAJ T ,.1))y A-AV&n Ln/00 FUEL C-7 u 1
FLUE SIZE RETURN OPENINGS INPUT //Of 000 OUTPUT a p>j 6!'1)
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warr Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks,.
NrAMechanical 0 Radiation Fireplaces with Box Additions or
it Conditioning ❑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 $451.50
$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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ t-M. co
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ S Li SD
This Application Becomes Your Building Permit When Approved Pa' , SA D 'Receipt No. r11 \
Building Official Date Dat �G' - ‘, �� By
24 hour notice for all inspections(952)447-9850 1
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372