HomeMy WebLinkAboutHeating Permit 10-1064 CITY OF PRIOR LAKE
INSPECTION NOTICE DATE TIME
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ADDRESS/
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OWNER
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PHONE NO. _
PERMIT NO. jl� ~"—
❑ FOOTING
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❑ FOUNDATION ❑ PLUMBING RI
CI FRAMING
0WATER HOOKUP❑ MECH RI ❑ EX/GRAD/FILLING
❑ INSULATIONING ❑ COMPLAINT
1 f] FINAL ❑ SEWER HOOKUP ❑ FIREPLACE RI
❑ SITE INSPECTION ❑ PLUMBING FINAL ❑ FIREPLACE FINAL
❑ MECH FINAL 0 GASLINE AIR TST
COMMENTS; ❑
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❑ WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT WO-, .
GALL •
FOR REINSPECTION BEFORE COVERING
Inspector. 4
O' Owner/Contr.
CALL 447_9$50 FOR THE NEXT INSPECTION 24
CODE HOURS IN ADVANCE.
REQ IREMENTSARE FOR YOUR PERSONAL HEALTH ft.SAFETY!
1NSNOTI
rRIO� CITY OF PRIOR LAKE Date Rec'd
Ot
0HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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` tiv-NEscio* 1.ProGreelen File PERMIT NO./0✓ /0 ✓
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3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
159 L11,0 .nhe h 111 . S -•-•
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O(Name)R N/-141 +1 a ��+7- 1-1C1849
(Address) I6 L-1-C, o r i'Sh Tri. uE
APPLIC(Name). 1.f � 1't" 156K�.@ J . (Phone)( SQ 43 —1ô1
(Address)(A SO L) • 14G-1h- &•91 ICY, 0°D e', t�/tto JD�
(Address) (City) (Zip Code)
(Contact Person) DLL 1/ZZ.0 (Phone) 9 c31—7�9'
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APPLICANT SIGNATURE am ta+,,, DATE I H HO
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION � r.,REPLACEMENT ,/ 0 ALTERATIONS
/y�.�.,
FURNACE MAKE AND MODEL .i.kid.— R.°PEo.3 Ea tT Irl P) FUEL N Q U_
FLUE SIZE RETURN OPENINGS INPUT 7 5, OCc OUTPUT&DJ Cry
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
['Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
['Gravity 0 Hot Water into Required Side Yard Setbacks.
Mechanical 0 Radiation
u Conditioning 0 Special Devices Fireplaces with Box Additions or
Vent.System 0 Other Devices Cantilevers to the Outside of Buildings
-��'' .' ++ ..,,�,wequire a Building Permit.
F MAKE AND MODEL al IR*Crc '—L.� p -Q
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 $49.50
Estimated Cost$ (GC-I Building Permit #
HEATING PERMIT FEE $ 140.6-C)
STATE SURCHARGE $ CS.--) —759"
TOTAL PERMIT FEE $ . 5-0
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid si ipt Nol_ /7,his
Date /f,,. ,.
Buildine Official Date •
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372