HomeMy WebLinkAboutHeating Permit 12-0790 DATE TIME
CITY PRIOR LAKE SCHEDULED
INSPECTION NOTICE
2;LZ___41.6 —__
ADDRESS 8
11V\6\JZ, 016? . DC_
OWNER CONTR. ^
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PHONE NO. PERMIT NO. 2 —_______7310----
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0 PLUMBING RI ❑ EXIGRADIFILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION0 FIREPLACE RI
❑ FRAMING 0 WATER HOOKUP ❑ FIREPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP 0 G PINE I TST
❑ FINAL 0 PLUMBING FINAL
❑ SITE INSPECTION 0 MECH FINAL X.
COMMENTS:
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WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORR
or Inspedo111
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ORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
JNSMOTI
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMITi(4iIo
41o'�P l F'nk F'le PERMIT NO. -19
�n7VE5 2 Green Ciq I� 0
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
5 LlO b 19rn blewocxk 0 ri V e 1"E
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER �abcoC or
(Phone) col3xc'�4-1-kicig�
(Name) ���
(Address) 4-0 6 14}01b Ill LOCOC& tOr i kk_)3
APPLICANT --7
(Name) lr3--I r i-- x (Phone) ! �3n 3 r3 T 3�3
(Address)1Ii) i+a Amt_l V' e tV2l3r ikN $-S Y a-
�._ (Address) City) Q�-(Zip Code)
(Contact Person) t I i s , Li (Phone) 7(OJ' -3 83 U J l 0
APPLICANT SIGNA _ / ',ii. ,t � 4 DATE 151^
A•'LIC•
T PLEASE COMPLETE BELOW
ONEW CONSTRUCTION [ tEPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL'Yig l rf..W1-O(nom(.3 FUEL
FLUE SIZE RETURN OPENINGS INPUT CCC(C<)(.) OUTPUT S$Rf OD°
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
:Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
OGravity 0 Hot Water into Required Side Yard Setbacks.
74 Mechanical 0 Radiation Fireplaces with Box Additions or
Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
['Vent.System ❑Other Devices
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
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
------Cost$ cc) Building Permit #
The Minnesota Statutes§326B.148 U /5-v
"SURCHARGE"has been changed for one HEATING PERMIT FEE $ 4//4 .co '7 V('
year effective STATE SURCHARGE $ .50
July 1,2010,until June 30.201TOTAL PERMIT FEE $ a5O.00 -------,3-0
.3 ,06 0
The minimum surcharge fora"fixed fee"permit
is S5,beginning July 1,2010
This Application Becomes Your Building Permit When Approved Paid ,,,R) 610 Receipt No. / r _../ ,2___Building Official Date Date Oh
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24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372