HomeMy WebLinkAboutHeating Permit 11-0500 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED 9(If°
ADDRESS l 46k(p 'D (it,.
OWNER CONTR.
PHONE NO. PERMIT NO. )/-5—
❑ FOOTING /3. /4 J
❑ FOTDATION 0 PLUMBING RI ❑ EX/GRAD/FILLING
0 FOAMING 0 MECH RI 0 COMPLAINT
0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL
0 GASLINE AIR TST
❑ SITE INSPECTION
0 MECH FINAL - ,--oi0 ZC-4...
COMMENTS: x �,.. )1z
/ 41 ,_ 4 _
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C . .,...1--a., pet/Jpi, ‘--72,- . i
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! ORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. ____19z=d ______
Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
•
OCr R/0 CITY OF PRIOR LAKE Date Rec'd
E.-, c HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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,MVE$O* I.Pink Fiie
2.GreenCityPERMIT NO./1-500
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS eUP
r+I ZONING(office use)
.... A*
( d) laln ld SC_
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
((Name) thod LCI (Phone) . aI 2- 34-P- 1-411)4°
(Address) 1ii/P 3 l --::::_
l b e) (am � , •
AP
(Name) i ( (1)corn(,n/�/ f /i//'� j��`�/�� (Phone) �� l,k(Address) 1 1gio t 6ck� (It(C) Clete sYY)Xpc7
�. 37i (Zip Code)
(Contact Person) \\,(UAL / (Phone) ` -WS- • /
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APPLICANT SIGNATURE 0).1,� DATE LPN
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION Z.—REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL 1RAMA D FUEL /y,/
[i
FLUE SIZE RETURN OPENINGS INPUT '-Ot 00?) OUTPUT Old nC)
TYPE OF SYSTEM HEATING OR POWER PLANT
QWarm Air PlantsPLEASE NOTE: Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
Q'Mechanical ❑Radiation
DAir Conditioning ❑Special Devices Fireplaces with Box Additions or
:Went.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
Resential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
i'lc 1V111111GJVU1 JIALLULVJ y.)LUD.ito " - )St$ Building Permit # •
"SURCHARGE"has been changed for one
year effective (EATING PERMIT FEE $ 41.E
July 1,20.10,until June 30,2011.
The minimum surcharge for a"fixed fee"permit TATE SURCHARGE $ S.00 .50
is 1,1,beginning July 1,2010 OTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid 5..1 -1.)Seceipt Nq!„3
Date rn I ( k'.Building Official Date 1.V •�l 1,
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372