HomeMy WebLinkAboutHeating Permit 13-1070 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED L
ADDRESS 0 C 4-0Jjy 4,
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 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
Close tine Fi . �.
)ue. to : nQc±xvity
•
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
Nc4,_CALL 447-9 50 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
JNSNOTI
PRI-494 5
(4,AN .
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
kNE80
I.Pink File
.Green City ./�PERMIT NO. j 3_JU I
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS #oti
ZONING(office use)
56 av Z zo k/
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNE ,/L/ r�
(Name)R � - /i�/�a-f-� D('!'�I (Phone)��2 56"' aco8
(Address) 6.6e6 41;5'i y i ZQ/lf ( :/rei&
APPLICANT
(Name) CENTERPOINT ENERGY (Phone) 763-757-6202
(Address) 9320 EVERGREEN BLVD NW SUITE B COON RAPIDS 05433
(Address) (City) (Zip Code)
(Contact Person) JOANN ZINKEN (Phone) – –
APPLICANT SIGNATURE .a_J/i � i /fit, ' DATE / ALJ
APP ICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ®REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL LiLiep/..Q .6-47 7-70.5-4-.0‘O FUEL A4tJgq 5
FLUE SIZE RETURN OPENINGS INPUT 046 OUTPUT 7
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
OGravity 0 Hot Water into Required Side Yard Setbacks.
I3Mechanical ❑Radiation
❑Air Conditioning ❑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
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 $49.50
Estimated Cost$ PO , D 0 Building Permit #
HEATING PERMIT FEE $ � , 50
STATE SURCHARGE $ . L 0 -5.
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid /56 Receipt No. 7,,04/2___Date ` By 9, —
Buildin¢Official Date /+'/" '
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372