HomeMy WebLinkAboutHeating Permit 16-0011 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED Z4,.
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ADDRESS I y 2, ----z 5r-'yL eR -7-re--L,
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ 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: -rtAZ-t-D -71-1,(
(f) e___ rK) C. s.ls-z_cz_
❑ COAWORK SATISFACTORY,PROCEED
1RECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
d:2Inspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
ti PR/0 CITY OF PRIOR LAKE Date Rec'd
A,° .e HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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Ute ` hl
I.Pink File
4f/NNESo11' 2.Green City PERMIT NO. /6....zoi/
3.Yellow Applicant �/
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I L-1-j\3 3\ ikriort Lc - A) , i'L :e)
LEGAL DESCRIPTION(office use only) �
LOT/ /
BLOCK ADDITION 4/4,i 7 ! ''`j//Ca ' PID Zs 0/5-- z' ' —o
(NaOWNEnce)R l(,� r 1Q, at t (Phone) lQ/'A 6 o5,& '7u1
(Address) \6/01-VUL,
APPLICANT (Q.s/ HEATING &AIR INC.
(Name) _ , .I : : • , . (Phone)
(Address) CRYSTAL-53MND
(Contact Person) (Phone) y
APPLICANT SIGNATURE _JO r __ ' / DATE 12437145
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTIONEPLACE_L�EkIT 0 ALTERATIONS ��J
FURNACE MAKE AND MODEL �--{'✓� n O,c CA,0\ci V)14A—i 1, 0 FUEL
FLUE SIZE RETURN OPENINGS INPUT 1 Q to 0 d OUTPUT VI t 6
T PE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
arm Air Plants O Steam Units and Fireplaces Cannot Encroach
cavity ❑Hot Water into Required Side Yard Setbacks.
Mechanical CI Radiation Fireplaces with Box Additions or
it Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
Vent. System CI Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL I
FEE SCHEDULE
Industrial,Commercial&Multi Family I%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 $
STATE SURCHARGE $ ...4it9
TOTAL PERMIT FEE $
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This Application Becomes Your Building Permit When Approved Paid ' i
J0 Receipt No. j rob
Date / _ By -�
Building Official Date • 0 (f/
24 hour notice for all inspections(952)447-9850 ' j
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372