HomeMy WebLinkAboutHeating Permit 14-1307 DATE TIME
CITY OF PRIOR LAKE ,,r I
INSPECTION NOTICE SCHEDULED / Y(8)I/
ADDRESS 444/2 QQCL.V\ cW\
OWNER CONTR.
PHONE NO. PERMIT NO. I - 4 O •
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 52(MECH FINAL ❑
COMMENTS: P€,pta,Q,.� � r -e__
Clo
gWORK SATISFACTORY,PROCEED
❑ CORRECT AC ON AND PROCEED
❑ CORRE K,CALL FOR REINSPECTION BEFORE COVERING
Inspector.j Owner/Contr.
CALL 07-9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
Nation
III
14 2 5U2)1 947)-1
04 TRIO CITY OF PRIOR LAKE Date Rec'd
4%1 v.,
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
t•
I.Pink File PERMIT NO
A .40vmso4 2.Green City I 410 I Yellow Applicant I Ilk°
%OF
(Please type or print and sign at bottom)
ADDRESS ZONING(office use
--
)44141P bYilLkIk.ALS/VV. Llt\ Kit
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER .
(Name) ► . ,kg,i.,A& _I " (Phone)
(Address) 4414 L- 0 411 - .
APPLICANT-,
(Name) -P e .A tA, i. - 141,l" . k,ti v ®�, i ` (Phone) CIS-)--'SS'`�q DI)
(Address) LI0 t\ ►%v Cl,i'lk. . SY. jAkt ri L tL)iidS V\AA,. 55J 12,0
(Contact Person)•1'IU� c1�2� (Phone) _
APPLICANT SIGNATU Elf VV DATE it-14-i L
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTIO ^0,REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL UUi�'VUjl,y� (� iws j) ki FUEL
FLUE SIZE RETURN OPENINGS INPUT t4+ OUTPUT !Pit atil)
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity DHot Water into Required Side Yard Setbacks.
0 Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
0 Vent. System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi Family I%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 $ .") . 5 0
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ c-
1 "� li ' i
This Application Becomes Your Building Permit When Approved li),. � I eipt No. II
I 4te i!0`Irl Z 0147
Building Official Date
24 hour notice for all inspections M 2)447-9850 t
4646 Dakota Street S.E.,Prior Lake; �Iitiesi+ta - 'i2-:..--:_=. N
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