HomeMy WebLinkAboutHeating Permit 15-0093 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE3 /3
SCHEDULED ! l27
ADDRESS J q z SL
CONTR. Tr-
OWNER
PHONE NO. PERMIT NO. 15-1- 6
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMP
❑ FRAMING COMPLAINT
NG
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: 40,4., 1J!-VL L
C I ase -1 l
WORK SATISFACTORY,PROCEED
❑ CORRECT A TION AND PROCEED
❑ CORREC RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CALL 4 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
wsnon
ot 74 CITY OF PRIOR LAKE Date Re6cd
li'llAHEATING/AIR CONDITIONING/FIREPLACE PERMIT / z 9. 15
"r�nnvEsa�'' 1.pink File PERMIT NO. 4�' 9a I
2.Green City • 7
3.Yellow Applicant
, lease type or print and sign at bottom)
ADDRESS ZONING(office use)
t HQ 6-0 Shan be--c l��, -t l.
LEGAL DESCRIPTION(office use only)
LOTOOZBLOCKb O(ADDITION t✓•. }N to sn 1\ t 5-i- kt, PID as( taeoa b
OWNER
(Name) d 4"--(141,1A (Phone} C3'( I b IS-S-7
(Address) 114 o25-0 am" 1 idQaC� e ett L.--
APPLICANT L---
(PPL)CANT
Name FOa( eZ t'1 -qrE_E___,,
(Phone) �3�3
a,...?) b'''_5(AddressUIOO Wtn _
i. . f: e SCa i JQ I00 _
(Contact Person) ui& A ,,,, �tiQPhone
( ) SQ33�3 �51_�
APPLICANT SIGNA _ _,, ,dam A -02/�" DATE / � /5
te 1
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION d13PLAçEMET ❑ALTERATIONS ,
FURNACE MAKE AND MODELfrna ct 9 (DV o� O FUEL Al a 6s
FLUE SIZE RETURN OPENINGS INPUT , Y A a OUTPUT ,S r Q 0 Q.
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Mr Plants ❑Steam Units and Fireplaces Cannot Encroach
❑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 DOther 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 $ 5 9, 5 0
STATE SURCHARGE $ ;5.00
TOTAL PERMIT FEE $ 5 •'5t
This Application Becomes Your Building Permit When Approved Paid 5-4_ 50 Receipt No. 57/
Building Official Date Date, z9- 45- Byfa_
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372