HomeMy WebLinkAboutHeating Permit 14-0893 DATE TIME
CITY OF PRIOR LAKE 3' ,` �^
INSPECTION NOTICE SCHEDULED J
ADDRESS 3545 1sC ND tri V eA r... ,
OWNER CONTR. /4--I 873
PHONE NO. PERMIT NO. /4-„/3 94 -❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ NSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: WINDOUVJS (/' t3'I'(-')
qns- Afo 70
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RK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT O ,CALL F4 REINSPECTION BEFORE COVERING
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Inspector. 1.C1� . # Owner/Contr:
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
rrcr° CITY OF PRIOR LAKE Dal:e Rec'd
° HEATING/AIR CONDITIONING/FIREPLACE PERMIT S �(�
1° 4 Vit»
I.Pink File PERMIT NO.
4ftNNEsooP 2.Green City 11, ��
3.Yellow Applicant
(Please type or print and sign at bottom)
MIT NO.•
(office use)
3S S� is land V t e �1, e Nw
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWN}R CheAd Si i ple-a (Phone) LP 1 a 8/9 5-8t,/
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(Address) S,7 , J Si aT
APPLICpf,,,„,„„
�P (,i� ��S Y W
(Name) o. PIA,- S r (Phone) a-
(Address) 1(--Varp W . 3 Q,(A-e._ rr,,
(Contact Person)&.QAK SulL A° f�
/ M 5 (Phone) qS? (-)(4.\-- Yyyt/
APPLICANT SIGNATURE 4---,1 DATE
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
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
0 Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System 0 Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL LA IJ l' SI-N5
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 $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
II I
This Application Becomes Your Building Permit When Approved Paid .- _ rill
0. 7 ,a
Building Official Date Date Esv, 14_, Igg -
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 i