HomeMy WebLinkAboutHeating Permit 14-1284 CITY OF PRIOR LAKE TIME
INSPECTION NOTICE SCHEDULED C
ADDRESS \ Li J c ( V,—ad'Y�i-s4L.
OWNER CONTR.
PHONE NO. PERMIT NO. \ , (' QS J
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
Cl FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP FIREPLACE FINAL
g4INAL LUMBING FINAL ❑�ASLINE AIR TST
ITE INSPECTION � ��`MECH FINAL ❑
COMMENTS: �� 14 - IZ L.�.
l
OL
pIORK SATISFACTORY,PROCEED
(❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. \00J--t". J Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
0
1 I"R./04, CITY OF PRIOR LAKE Date Re 'd
ti HEATING/AIR CONDITIONING/FIREPLACE PERMIT / 1. 'Z 1-
/NNEso6P
2.1•PinkGreen FiCilty PERMIT NO. 741
S/¢
(Please s ,oz ,e i t and sign at bottom) 3•Yellow Applicant
Sys" .( 73. aLd LAe )
�. ZONING(office use
/ 537 •
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 4U ( -3---...2 ,3c5-/G1
(Address)
APPLICANT
(Name) (Phone)
(Address)
(Contact Person) —i , (Phone)
% t/// ce
� ? SION
PPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
0 Warm Air Plants 0 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
tern 0 Other Devices Require a Building Permit.
FIREPLACE M KE 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 $ lY
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ ,54 .:5-7.)
This Application Becomes Your Building Permit When Approved PaisI , �
��pt No. � 1.
Building Official Date Date//u . / air
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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