HomeMy WebLinkAboutHeating Permit 13-1016 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (2/23/
1 ao
ADDRESS )/105-2 �, Ani KGL CR—
OWNER CONTR.
PHONE NO. PERMIT NO. /3 --/OA.°
❑ 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
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 3114MECH FINAL ❑
COMMENTS- &D
OA 4
ORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR_ V O•K,CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CALL •50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
ration
PRro CITY OF PRIOR LAKE Date Rec'd
oU ° HEATING/AIR CONDITIONING/FIREPLACE PERMIT 9-16./3
rTi
L Pink File PERMIT NO.
NNEso� 2.Green City /3- / /C
3.Yellow Applicant `
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/6,0S7 /,////AJC- Pe
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 241✓ -i Z-(1 ' (Phone)
(Address)
APPLICANT I
(Name) Pie?0,t .1--,71C-&-- s- ---4 7' /Pre--- (Phone) 447. alio
(Address) 7'7625.966-0/&-e — —_� P.-.- C.
(Contact Person QC/i,,N (Phone)
Ii
PLICANT\SIGNATURE ,,,,e-_ _ . _ =r-um......_ DATE 9 /4 `/3
APPLICANT PLEASE COMPLETE BELOW
i ► W CONSTRUCTION VREPLACEMENT ❑ALTERATIONS
. d ' ACE AKE AND MODEL FUEL
•Invii . = RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
echanical ❑Radiation Fireplaces with Box Additions or
At it 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 $49.50
Cost$ Buildinng�Permit#
HEATING PERMIT FEE $ `�' (-
STATE SURCHARGE $ 5.00 5,
TOTAL PERMIT FEE $ S L/[
411
This Application Becomes Your Building Permit When Approved Paid 54145-7) gript No. 7o 0
Ic
Building Official Date Date?.... lla , i3 iLy
24 hour notice for all inspections(952)447-9850 '
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372