HomeMy WebLinkAboutHeating Permit 14-1308 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS q i SII. 4 A►•t 4.7CI
OWNER CONTR.
PHONE NO. PERMIT NO. 1 L , l �-
❑ 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 0 GASLINE AIR TST
❑ SITE INSPECTION ECH FINAL ❑
COMMENTS: 441
,WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. t ---, Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
a?((ida .-Ae j 4/ 9.0
� Pulp
CITY OF PRIOR LAKE Date Rec'd
,� A(
° HEATING/AIR CONDITIONING/FIREPLACE PERMIT
V ®` M
1.Pink Pile
4A'NESol
A 2.Zen city 1 PERMIT NO. '4. 1 ' o
3.Yellow Applicant r
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
%-J 4/ •�41•tiNe/t/-74r L- sE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(NameOWNER 4,.vyu02 (Phone) ` `lo - J% 7' o �3
Address y L .✓niv,✓ d.... /4 r
ie__ a 71, ,_ mAi ,.3-37,3--
APPLNmeICANT�je /e�t€4 (Phone) —
(Address) 7/ 474,v7.4.,i j4ve. ,62)e,/ ,iC,ai;e7 "i/ TS-3 44-i _
(Contact Person) B, 42.. _ „,,/ (Phone) q5D- q`t/— /O
44
APPLICANT SIGNATURE �/ / DATE 1/ha// /'
7 .
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTIONREPLACEMENT 0 ALTERATIONS
FURNACE'MAKE AND MODEL C4/., i&.e '/ c /7-"&' FUEL /L)0
FLUE SIZE a 1/ "YC.-- RETURN OPENINGS / R35. INPUTYpeve) OUTPUT 7c •yeA>
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
Vg Mechanical 0 Radiation Fireplaces with Box Additions or
['Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System Li 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) $64.5050Residential,AC Only $49.50
Cost$ �Building Permit#/
HEATING PERMIT FEE $ G 5`
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ d 7
This Application Becomes Your Building Permit When Approved lP " �'clftpt No.
' N _j 4 By
Building Official Date ,i
24 hour notice for all inspections 00,4447-9850 I
4646 Dakota Street S.E.,Prior Lake, ota.5537Z , :.-:.:-..:7:-.j j