HomeMy WebLinkAboutHeating Permit 10-0489 DATE TIME OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
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ADDRESS L.1(�C4 1i4,j ek.61A
OWNER CONTR.
PHONE NO. PERMIT NO. /0 q S
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATIONCOMP
0 AD/FILLING
0MECH 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 0 MECH FINAL
COMMENTS: Vo 0041.,..t,i-- vrvt.A.o. ci-J C
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7(WORK SATISFACTOR ,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC loRK,CALL FOR REINSPECTION BEFORE COVERING
Inspector A Owner/Contr
CAL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
LNSNOTI
of r RIO4 CITY OF PRIOR LAKE Date Rec'd
N HEATING/AIR CONDITIONING/FIREPLACE PERMIT
lMvEsoCA 21.. Fileity PERMIT NO. /O
3.Yellow Applicant
(Please type or print and sign at bottom) /
ADDRESSC, ZONING(office use)
Lf 13 q 4 'e (dt eig/ r ./
Ti7/ 10
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
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(NameOWNER) Allre14) 4 - ( �`one d — 7s03
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(Address) �� � C,...��� LQlil Oe..../ Pe'
APPLICANT
(Name) Standard Heating&Air Conditioning (Phone)
130 Plymouth Avenue North
(Address) Minneapolis,MN 55411-3445
(Ad6s2y824-2666 (City) (Zip Code)
(Contact Person) Ade
/'i (Phone)
APPLICANT SIGNATURE •�' ATE 6. Ic'
4
APPLICAN 'L SE COMPLETE BELOW
❑NEW CONSTR TION r.;\" PLACEMENT 0 ALTERATIONS
FURNACE_MAKE AND MODEL La Cyr)/ S., FUEL L✓?✓
FLUE SIZE RETURN O' . GS INPUT 0Oa-e C5 OUTPUT , 0e44
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
arm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
•Gravity 0 Hot Water into Required Side Yard Setbacks.
Mechanical 0 Radiation
I►i_.- Air ConditioningFireplaces with Box Additions or
0 Special Devices
• ent.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 $49.50
Residential,Heating Only(New Construction) !,$,64.50 c Residential,AC Only $49.50
Estimated Cost$ "�` Building Permit #
HEATING PERMIT FEE $ ( e[ e S co
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 57t1 CO
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 503, Rec No. &ds
7
Date // B
Buildine Official Date (P.. 4/0, i U ,
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372