HomeMy WebLinkAboutHEATING PERMIT 15-1307 CITY OF PRIOR LAKE
INSPECTION NOTICE DATE TIME
SCHEDULED 44aADDRESS
to
OWNER
CONTR.
PHONE NO.
PERMIT NO. _____15 .30.7.______
❑ FOOTING
❑ FOUNDATION 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FRAMING 0 MECH RI ❑ COMPLAINT
0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION
❑ FINAL
0 SEWER HOOKUP
0 SITE INSPECTION 0 PLUMBING FINAL 0 FIREPLACE FINAL
0 MECH FINAL 0 GASLINE AIR TST
COMMENTS: ,# p / ❑
/i WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR. : -K,CALL FOR REINSPECTION BEFORE COVERING
Inspector ii
r PP" Owner/Contra
' 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
wsnorl
0, PR/o
c.°',/ /IN CITY OF PRIOR LAKE Date Recd
� ,j � ` a,,) HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1_�� /0. z /- '0
i uuw c„„c.ot /575e2
PERMIT NO.
(Please type or print and sign at bottom) YilAt,
ADDRESS
c a'f �/ �i ZONING(office use)
c.
et
LEGAL DESCRIPTION(office use only)
LO°13 BLOCK / ADDITION/ a..) )'ie
OWNER
(Name) /i►' ® s ® a yy
(Phone).9S°�47 8 -,� c9
(Address),..,,-- „_36 ,
APPLI • ,, 4
(Name) ./.a./ ,w ..e..," � 9"."
(Phone) Jam'/ T7—',2 3 '7'
(Address) I is!.. - r:. _�': _...e" E e'
( itY) (Zip Code)
(Contact Person) /® .411 _ (Phone) /r cZ 2 3
APPLICANT SIGNATURE
met i�/i ��__IF, DATE '2__;Z. --_ !'".s._______
APPLICANT PLEASE COMPLETE BELOW
[NEW CONSTRUCTION El REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL
FUEL
FLUE SIZE
RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0;Steam PLEASE NATE: Air Conditioner
l]Gravity 0 Hot Water Units and Fireplaces Cannot Encroach
Glechanicat 0 Radiation into Required Side Yard Setbacks.
0Air Conditioning 0 Special Devices Fireplaces with Box Additions or
OVent.System /' 0 Other Devices Cantilevers to the Outside of Buildings
FIREPLACE MAKE AND MODEIS_ .-w,e .rsr C' /t " r Require a Building Permit.
Industrial,Commercial&MuJti Fami1 FEE SCHEDULE
y J/o of job cost Residential,Gas Fireplace $4950
$49.50 minimum
Residential,Heating&A/C(New Construction)Residential,Heati Onl ) $149.50 Residential,Additions&Alterations $49.50
ng y(New Construction) $64.50 Residential,AC Only
$49.50
Estimated Cost$ Building Permit #:
HEATING PERMIT FEE $ ,5
.151
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When ApprovedPaid
Q .(7� Receipt
8widiorOtlieiai Date l Dat l0 2 r Ic By
24 hour notice for all inspections(952)447-9850
4646 Dakota.Street S.E.,Prior Lake,Minnesota 55372