HomeMy WebLinkAboutHeating Permit 14-1327 DATE TIME
CITY OF PRIOR LAKE �,r
INSPECTION NOTICE SCHEDULED l (21(t(
ADDRESSLi Pa`4 ( ,(' e _
OWNER CONTR. ?
PHONE NO. PERMIT NO. i44 I321j
❑ 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 0 MECH FINAL 0
COMMENTS: k5cc,`..2s' 144rr FortN'- i-.
C-1/72‘R.-- 01-?/‘-ti -::kiL,
) WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CO' ' ;•RK,CALL FOR REINSPECTION BEFORE COVERING
if
Inspecto 4 Owner/Contr:
L7 -9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
=Non
1
4 PRI° CITY OF PRIOR LAKE Date Ree'di
° HEATING/AIR CONDITIONING/FIREPLACE PERMIT /Z- /_ I �`
U ? rr
I.Pink File PERMIT NO.
41/NNEB�r 2.Green City 1�„ 1,)/'?�7
— 3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
\A5), ;Ni C \Y1 ' L \ , M N (-5'31)-.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 25 3 o O.06'Z 0
OWNER \
(Name) \ N•Vv\\ . \q't c)i\p\ 5 (Phone) Co t2--Ce tQA - Co ,
(Address) \\ L\ C_,.1t9m -1-,0 N i- (`;of-- ls., c W\fiA 14431
APPLICANT // ///1/eJ Ml ' ,_4ti � �d��ic,,,i, (Phone) i, 1-'y /-c9c23
(Address) \T \ \N -�i� ` ^Vw�1%,,.. �,v O
(Contact Person) ._ CR�+, (Phone)
APPLICANT SIGNATURE r,,„,,,;;_ DATE i\I(N I I L(
l
APPLICANT PLEASE COMPLETE BELOW
El NEW CONSTRUCTIONPLAC } ENT ['ALTERATIONS /
FURNACE MAKE AND MODEL /74 fitek -S///PAS-�did FUEL //41/-
FLUE SIZE S- RETURN OPENINGS 7 INPUT , OUTPUT -71/0(2
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑ avity ❑Hot Water into Required Side Yard Setbacks.
echanical ❑Radiation Fireplaces with Box Additions or
l'UAir Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODE 9d
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 $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid 5u ro 7ct No.! ?2—
Date
Building Official Date L, -, � g
24 hour notice for all inspections(952)447-9850 1
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372