HomeMy WebLinkAboutHeating Permit 14-1288 DTE TIME
CITY OF PRIOR LAKE 4-f ,
INSPECTION NOTICE SCHEDULED !Z Z 3 /1-
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OWNER CONTR. /
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PHONE NO. 1
PERMIT NO. 14 '! e5
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAIN
❑ 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 ,
❑
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VErWORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT W/'K /ALL FOR REINSPECTION BEFORE COVERING
Inspector. n...�.A OvIi 11er/Contr:
CALL 447-9850 FO- .EXT INS .ECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
Natiorn
o� rRrp� CITY OF PRIOR LAKE Date Rec'd
A 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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4tjNNESO`SP 1.Fink File
3. lo
city P ERMIT NO. /¢( 1��
(Please type or print and sign at bottom) 3.Yellow Applicant
ADDRESS ZONING office use)
17083 Wilderness Trail S.E.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER Dirk Ganser
ame (Phone) 952-738-2657
(Address) 17083 Wilderness Trail S.E.
APPLICANT
(Name) Apple-Lake Heating & Air Conditioning, InC(Phone) 952-431-4328
(Address) 207 150th Street W. Apple Valley, MN 55124
(Address) (City) (Zip Code)
(Contact Person) Beth Janohosky `(Phone) 952-431-4328
APPLICANT SIGNATURE `lam\ 4inkt _ DATE
APPLICANT PLEASE COMPE BELOW
['NEW CONSTRUCTION [ REPLAC u T 0 ALTERATIONS
FURNACE MAKE AND MODEL 59TN 59TN6A100V21--22 FUEL natural
FLUE SIZE 2" PVC RETURN OPENINGS INPUT 100,000 OUTPUT 96,000
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑Steam
OGravity El Hot Water Units and Fireplaces Cannot Encroach
®Mechanical ❑Radiation into Required Side Yard Setbacks.
Air Conditioning 0 Special Devices Fireplaces with Box Additions or
O
Vent.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 $49.50
Estimated Cost$ Lk 0 ASO Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid M .3 ceipt No. E
Date
--
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372