HomeMy WebLinkAboutHeating Permit 14-1218 DATE TIME
CITY OF PRIOR LAKE SCHEDULED Z �-
INSPECTION NOTICE
# —____
ADDRESS
Cross
CONTR.
OWNER � �-I �2l�
PHONE NO. PERMIT NO.
PLUMBING G El E RI UGRADIFILLING
❑ FOOTING
❑ FOUNDATION
❑ MECH RI
0
COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE
RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
N
AL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION MECH FINAL 0
COMMENTS: FL rv1/41l-24-• . 4.C---
P,
MOM
1.41111 11L.- 1
TORY,PROCEED
."6—WORK SATISFAC
O CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Ilip Owner/Contra
Inspedo .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
SAFETY!
&
CODE REQUIREMENTS
ARE
FOR YOUR PERSONAL HEALTH
INSNOTI
II
H
01 rR1o4 CITY OF PRIOR LAKE Date Rec'd
'''elft- HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1.Pink File PERMIT NO.` Fl
4aNNEs ili 2.Green City / ' / /
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
51-Ja. C rOanc 'I-ref 1-- S p J‘5
LEGAL DESCRIPTION(office use only)
LOT 6 BLOCK T ADDITION 69,,eo%% 6 C ���Q�4,PID - \
� , �' as3aao�� o
OWNER
(Name) t t1 _ - 'e_k)r (Phone) Sa " LiC h -? ! ?=-1
(Address) 5-9 1 a C(OSsYL dca.
APPLI(Name)CANT tat LOA.C 0 1-k- (Phone) h 3333ULt-?
(Address) L`(7 Oen 1./Vie -i(a 0 './( —
(Contact Person)�_ sr , o (Phone) 7(0 3 3 3 V5(o —
APPLICANT SIGNATU' , .) -- I '---- DATE 1 0/7-f`{ _
APPLICANT PLEASE COMPLETE BELOW ,
ONEW CONSTRUCTION efREPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL [(24 --ridt 14a s , FUEL 4) 6.6-o
FLUE SIZE RETURN OPENINGS INPUT ?SD LOC ) OUTPUT 4 • `-)0
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
['Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
■ ravity ..9-- ❑Hot Water into Required Side Yard Setbacks.
tig echanical �vt'' 0 Radiation Fireplaces with Box Additions or
RAir Conditioning 4t.• 0 Special Devices Cantilevers to the Outside of Buildings
❑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 $49.50
Cost$ BuildingGGPermit#
HEATING PERMIT FEE $ �•c Q
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ SN- j 0
This Application Becomes Your Building Permit When Approved IK 4.0 Receipt No. r 5
ate By
Building Official Date ' ?AS
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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