HomeMy WebLinkAboutHeating Permit 16-0064 ATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED' -2. 0 1 to
S
ADDRESS I � "C"- 1 S i'l -(7A- l G 4
OWNER CONTR. y
PHONE NO. PERMIT NO. 1 C. • (4)L'I
❑ 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 ❑„GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: 'co f-
uv....1.e,......tp
oic., AID ct.c.,_ .) __.
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. 1 G2A2 . Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
4�4 PR/0„1
CITY OF PRIOR LAKE Date Rec'd
U
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
l�'N$y /,,as-,A6
1.Pick File
2.orek cit,. PERMIT NO. /4 • 64°'
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
i 5500 Fish Phial- Road SF
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OW
(NameER e.0-1 Si 1 h (Phone) 509-969-4792_
(Address) 15500 j7Sh PQ,f)+ RO ad 3E1 ftI O 2
( 1-Ot. MN) 5 53
APPLICA►tj,,,, /
(Name) i / rev t►� h e .G i i. ij s (Phone) l0/
2-32_4, - )q 19
(Address) 650 NClI-e, Ave_ NI ) Surf{ I/O) Oakdale, MI 55)28
(Address) (City) (Zip Code)
(Contact Person) j I P 1 _ A. ILIA (Phone) 1.2-3 Z- 19 /9
APPLICANT SIGNATURE c 'It 'U '/12.1 VlJ2A1 DATE ///oh
APPLICANT PLEASE COMPLETE BELOW
replace, I ns❑ W CONSTRUCTION ❑REPLACEMENT ALTERATIONS
�i
FURNACE MAKE AND MODEL �-f9Pn C9 LIZ I(E— N G I O FUEL 1\J0(- G
, S
�
FLUE SIZE X 3 ttRETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
['Warm Air Plants 12 Steam PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
❑Gravih' ❑Hot Water
❑Mechanical ❑Radiation into Required Side Yard Setbacks.
❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or
['Vent.System 0 Other Devices Cantilevers to the Outside of Buildings
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 $49.50
Estimated Cost$ 5 000 Building Permit #
HEATING PERMIT FEE $ 49.50
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 50. 50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid s–z Receipt No. 4_034,
Date / 2_7/( By
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372