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Heating Permit 15-1447
DATE TIME CITY OF PRIOR LAKE 42/11INSPECTION NOTICE SCHEDULED (e, ADDRESS 11-1 71 2,, g,,,,,,Q,„,,,,,,ek Z,;(2.. OWNER CONTR. PHONE NO. PERMIT NO. ' c-- 1441-1 ❑ 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 0 MECH FINAL 0 �"u COMMENTS: r „ r � I dos-e, t 1 -14 WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORR ORK,CALL FOR REINSPECTION BEFORE COVERING Inspect° Owner/Contr: C 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI PRo� CITY OF PRIOR LAKE Date Rec'd �/�/j . \. ;; HEATING/AIR CONDITIONING/FIREPLACE PERMIT /'�� `/�'' � ,� *NES° 2. �.Green CiFilrye PERMIT NO. 1V-/%7' 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESSf,..--) ZONING(office use) /4/-7/.- `azi,�c d /('.�./�' '� -/ I,S 6 I LEGAL DESCRIPTION(office use only) /� -- LOT "1 BLOCK 2_ ADDITION H��4 4 Ll. PID 3/9--0/7—o WNE -`' / -a .5-.._ ,, (NatneO )PR�/7 --'' "1:0°-//7 J{�'c (Phone) (Address)/fir%�/,,:-.2.. ( 2� "G:' 'C / , E''.-.--2/ , APPLICANTS? (Name) (.1/,,►// l-- -/>,,: ".:?' /P"-./P"-. 7541/7/7 (Phone) 5Y `7 Z`-7 (Address)c ^ y/ ' 07- � '4- f-` -4:- /7a /!'% -_, Address) (City) (Zip Code) (Contact Person)/ . . . ) (Phone) .. /- -Fe-7' .7.--,....- -? APPLICANT SIGNATURE . , ...4,y ' DATE ///- /,/ APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION ,4gPLACW4FNT ❑ALTERATIONS FURNACE MAKE AND MODE i 1./ 414, AA 7 e 18s. C24/ FUEL FLUE SIZE RETURN OPENINGS _ INPUTc 67/© ,f7) OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. echanical El Radiation ❑Air Conditioning E]Special Devices Fireplaces with Box Additions or ❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family 1%ofjob cost Residential,Gas Fireplace $49.50 $49.50 minimum I Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit #7 HEATING PERMIT FEE $ < •6.6 STATE SURCHARGE $ 1.00 TOTAL PERMIT FEE $ !S(.?; . (Office Use Only) This Application Becomes Your Building Permit When Approved Paid60 U Receipt No. 26 til Date I �.0 By Buildine Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372