HomeMy WebLinkAboutHeating Permit #13-1198 CITY OF PRIOR LAKE DA
INSPECTION NOTICE SCHEDULED ZZj/E�i TIME
ADDRESS /(e318 -2rQ.Lc�� (2
OWNER CONTR. c�
PHONE NO. PERMIT NO. /3 " I L? 1
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 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 0 MECH FINAL ❑
COMMENTS:
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WORK SATISFACTORY,PROCEED
CORRECT AC • AND PROCEED •
CORRECT ' O- ,CALL FOR REINSPECTION BEFORE COVERING
nspector. Owner/Contr. -
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE
SCHEDULED II I r
ADDRESS 3
OWNER
CONTR.
PRONE NO. PERMIT NO.
1� q
❑ FOOTING 0 PLUMBING RI
27 FOUNDATION ❑ EX/GRAD/FILLING
CI FRAMING ❑ MECH RI ❑ CMPLAINT
❑ INSULATION 0 WATER HOOKUP .trFIREPLACE RI
❑ FINAL 0 SEWER HOOKUP ❑ FIREPLACE FINAL
❑ SITE INSPECTION
0 PLUMBING FINAL 0 GASLINE AIR TST
❑ MECH FINAL 0
COMMENTS:
MINIIIrgaliMitPAINAa IMO
XWORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORREC ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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1 PR/041 CITY OF PRIOR LAKE Date Rec'd
q
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
t71 �
a,INNEsoP� 1.Pink File PERMIT NO. ".
a z f3
2.Green City
(Please type or print and sign at bottom) 3.Yellow Applicant , /r9
ADDRESS
l/� jgBerg1i3
ZONING(office use)
/( (74- / 3L,D
Els
LEGAL DESCRIPTION(office use only)
LOT BLOCK / ADDITIONi{e,, S /,014)5 PID
OWNER JoL Pile-MA—2— —�//(Name) ii (Phone) q —IO 93-3035-'
(Ad&ress) /(3/3- ,,,,,,,s ,64/ v'i`mPrez, Zak,4a 553-71.
1
APPLICANT
(Name)
I i 1 rill. • (Phone) 9 i �-. 9'cl-7(.47
� �
(Address) . 2r..„/A___., /,• A _Jar LA. //A
(Contact Person) CC eillIFF/C-JUA /m
(Phone) 5 '�o2 -90.17
APPLICANT SIGNATURE DATE L4" / --
APPLICANT PLEASE COMPLETE BE OW
I4"
►J:i EW CONSTRUCTION ❑REPLACEMENT ALTERATIONS
FURN A CE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air PlantsPLEASE NOTE:Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
❑Gr ❑Hot Water
echanicalinto Required Side Yard Setbacks.
0Radiation Fireplaces with Box Additions or
Air Conditioning ❑Special Devices
❑Vent. System Cantilevers to the Outside of Buildings
O her Device Require a Building Permit.
FIREPLACE MAKE AND MODEL R.,7 'rte--/p/ _ I
F4 SCHEDULE
Industrial, Commercial&Multi Family 1%of job cost - si ential, Gas Fireplace $49.50
Residential,Heating&A/C $49.50 minimum
(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 $ 4-9'SO
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ 5 S
J i
This Application Bec me o Building Permit When Approved ,,id ✓�
I D 12g: w �� Receipt No. 33,:k
. -4k. 5.
Building Official Date Date By
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372