HomeMy WebLinkAboutHeating Permit 14-1328 D TEl TIME
CITY OF PRIOR LAKE
2
q
INSPECTION NOTICE SCHEDULED �
l
! I+
ADDRESS 5(O1
OWNER CONTR. '�l
PHONE NO. PERMIT NO. / 4-I -
❑ 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 ❑ PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION MECH FINAL 0 •
COMMENTS: / (Cft..) - 1�-t�l,Pj.(►.p
C1, -ae,At
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRE RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL - 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INBNOn III
7
01
;RI CITY OF PRIOR LAKE Date Rec'd
04,
x HEATING/AIR CONDITIONING/FIREPLACE PERMIT ( , /,//
U to
1.Pink File PERMIT NO. / 7L,�INNESo
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESSZONING(office use)
kcC 477 4L ,ocJ 4ve POSO
LEGAL DESCRIPTION (office use only)
LOT 33LOCke ADDITION / )ichcAicicadleq, PID 0/37 gas'''.OW-
0
OWNER
(Name) _I,_ - f{J' _ oma/ (Phone)
(Address) ay e pc/,.,rea,A d P 7'''•> (.L /Ill ,c577
/
APPLICAN r
(Name) A 4 /`i _ (Phone) 519-.1— X
(Address) e C .2 _ . ,./ _
(Contact Person) /414(C( XCa‘.4,,t1 (Phone)�,1. T
/ .y 0 yr
APPLICANT SIGNATURE DATE i /"//9/
APPLICANT PLEASE COMPLETE BELOW
['NEW CONSTRUCTION $It CEMENT ['ALTERATIONS
FURNACE MAKE AND MODEL ,74...444)/ /g( 9C 0 CO_ FUELM k.-
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
DGravity ❑Hot Water into Required Side Yard Setbacks.
avreThanical 0 Radiation Fireplaces with Box Additions or
0 Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
El 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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ .S--(.7
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ S1-f.3-0
This Application Becomes Your Building Permit When Approved Paid 54y- S-0 Receipt No.
Building Official Date Date /-a 1 I I By ,se w
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372