HomeMy WebLinkAboutHeating Permit 12-0780 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 240
ADDRESS J 5-2(0 11k ,(
OWNER CONTR. _v
PHONE NO. PERMIT NO. / 2 - ?8,-,d
❑ 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
4EINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
a(05,-Pu J._c\,.-P,
WORK SATISFACTORY,PROCEED
❑ CORRE ;-ON AND PROCEED
❑ CORR r • ;K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: J Air Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
wsnorl
04 "19+ CITY OF PRIOR LAKE Date Rec'd
N HEATING/AIR CONDITIONING/FIREPLACE PERMIT
73 4
+tj tP I. nk File
jlvivEs 2.Pink
City PERMIT NO. /Z- 70
3.Yellow Applicant a
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
151.10 Hovvord eke kbad Shy [3,537cf
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name) `-" �4O e (Phone 6'Ih OLr1L)
(Address`0 UaWard LC Rd s IaL'lA "' Mø 5sTri
APPLICANT
(Name) (Phone)Mechanical Inc (Phone) 952 445 8585
(Address) 12010 Old Brick Yard Road Shakopee MN 55379
(Address) (City) (Zip Code)
(Contact Person) Linda (Phone) 9 5 2 4 4 5 8 58 5
APPLICANT SIGNATURE Vl DATE I'I V IZ
APPLICA PLEASE COMPLETE BELOW
['NEW CONSTRUCTION/ REPLACEMENT El ALTERATIONS , 1
FURNACE MAKE AND MODEL vb(CY C'r1 10 FUEL NCI
FLUE SIZE RETURN OPENINGS INPUT g0,OC) OUTPUT 'l2.100(0
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
116arm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
❑ echanical 0 Radiation Fireplaces with Box Additions or
IVAir it Conditioning 0 Special Devices
❑Vent.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 Residential,AC Only $49.50
The Minnesota Statutes§326B.148 cost$ Building Permit #
"SURCHARGE"has been extended
until June 30,2013, HEATING PERMIT FEE $ •5)
The minimum surcharge for a STATE SURCHARGE $ 5.00 .50
"fixed fee"permit is$5.00 FOTAL PERMIT FEE $ rjA)
This Application Becomes Your Building Permit When Approved Paid p-Li st Receipt No. / q 93
Buildine Official Date Date 714//Z By j.,,iv
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372