HomeMy WebLinkAboutHeating Permit 13-0871 CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 2_,LZ*0
2 __�
ADDRESS I l
OWNER �� t 2
_J
CONTR.
PHONE NO.
❑ FOOTING PERMIT NO. ,2 W
,
❑ FOUNDATION 0 PLUMBING RI
❑ FOUNDA 0 MECH RI ❑ EX/GRAD/FILLING
INAL
O FINAL
TION 0RAMING
WATER HOOKUP 0 COMPLAINT
❑ SITE INSPECTION ❑ SEWER HOOKUP ❑ FIREPLACE RI
0 PLUMBING FINAL GASLIAlk NE
TST
0 MECH FINAL 0 GASLINE AIR TST
COMMENTS: 0
aimermw
)(WORK SATISFACTORY,PROCEED
❑\CORRECT ACTION
❑ CORRECT AND PROCEED
K,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL Owner/Contr.
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
?Rio CITY OF PRIOR LAKE Date Rec'd
^ CONDITIONING/FIREPLACE CONDITIONG/FIREPLACE PERMIT
fix.
v- 1 'g
4tt1119VESooP at
2.Green City t,Pink PERMIT NO. I 6 -7/
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS /9 i 12 _ /, h n Iaotted..- ZONING(ofcc use)
•
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 5t4 cr at_
(Phone) q 5-7. LG 116-- 61(a
(Address) .a
T9SZ'££91S9 •
APPLIC TTSS NW '311In3S021
(Name) riaANT & HOMETECHNOLOG f1N3nt! M3In2lI`dd 00L(Phone)dbat FI CSI-BC HEARTH & H 9S9Z99 a!1 •
Lie 662656 •
(Address) 2700 EAIRVIEW AZr ,z "OH '8 Hl2IV3H 9aIS3?ild eqp
ROSEVILLE, Mi jJDO1ONHD31 91401-1 IS H12JV3H (City) (Zip Code)
(Contact Person) 651.633.2561 L (Phone) p •
APPLICANT SIGNATURE 1, , 7v' DATE O I-13
APPLICANT PLEACOMPLETE BELOW ,
S �''""
ANEW CONSTRUCTION [ 'REPLACEMENT 0 ALTERATIONS •
FURNACE 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
['Gravity 0 Hot Water
❑Mechanical 0 Radiation into Required Side Yard Setbacks.
❑Air Conditioning El Special Devices Fireplaces with Box Additions or
:Went.System ❑Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL 12-:111L-5.___ .-2 U—(, `tv Wet187 L/
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 $49.50
Estimated Cost$ 145/50,60 Building Permit #
The Minnesota Statutes§32613.148
0 "Sl`RC1 1.�RGybeen changed for one
HEATING PERMIT FEE $ 11 Q',5
year effective
STATE SURCHARGE $ 5 6 b .50 July 1,2010,until,tune.30,2011.
TOTAL PERMIT FEE $ 'q, ca The minimum surcharge for a"fixed fee"permit
(Office Use only) is 5.,beginning July 1.2010
•
This Application Becomes Your Building Permit When Approved Paid r' -ssli Receipt No. 9JIL.
Building Official Date
Date 01d7By �
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 /
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 .