HomeMy WebLinkAboutHeating Permit 15-0076 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2-(7-:1(11,
ADDRESS .1 0(o ( v.
OWNER CONTR.
PHONE NO. PERMIT NO. S ..1.4
❑ 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 0 MECH FINAL
A
COMMENTS:
C
/ .
gWORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr. If
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOT1
rRro� CITY OF PRIOR LAKE Date Rec'd
A. , HEATING/AIR CONDITIONING/FIREPLACE PERMIT
trI
L Pink File PERMIT NO. c1F-14I�NNEsoll" 2.Greed City3.lellow Applicant ���//
(Please type or print and sign at bottom) III
ADDRESS ZONING(office use)
/ / LiZt 41,Pv/
LEGAL DESCRIPTION(office use only)
LOT O 0/BLOCK ADDITION ` Grs�2is� �� PID S y280, -
OWNER ``//
(Name) /V yP� ��'nh (Phone) 75-z- -93y- 2,29Y
(Address) /7dg/ fun
APPLICANT /
(Name) li!/
(Phone) q5 7516 -S
-
(Address) 22- S �t 431 • �c•2,, To , J r 3-z
(Contact Person) (Phone) 9i -7Y6-
APPLICANT SIGNATUR DATE 7/
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION �REPLA��j EN T yd'ts ❑�/TE FUEONS
FURNACE MAKE AND MODEL a.� 7
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
Mechanical ❑Radiation • Fireplaces with Box Additions or
❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
ID 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 Permitil
HEATING PERMIT FEE $ 4 y X7
STATE SURCHARGE $ 5.00 {
TOTAL PERMIT FEE $ TV_5
This Application Becomes Your Building Permit When Approved Paid WM eceipt No. 0PI
Building Official Date Date I. SGS �y
24 hour notice for all inspections (952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372