HomeMy WebLinkAboutHEATING PERMIT 10-1028 DATE TIME
CITY OF PRIOR LAKE MAR 2 3 2016
INSPECTION NOTICE SCHEDULED ---
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ADDRESS 5---5-6 ���
OWNER CONTR.
PHONE NO.
PERMIT NO. ifil2P 2
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATIONWATER HOOKUP FIREPLACE RI
O FRAMING p GI
SEWER HOOKUP 0 FIREPLACE FINAL
p INSULATION CISSITE
LE INSPECTION 0 MEC0 PLUMBING FINAL CI GASLINE AIR TST
❑ IH FINAL ❑
I) 4,0k COMMENTS_
1.11110 1111111111MillilliftY
•
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED •
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INaNOT7
r Rto CITY OF PRIOR LAKE Date Rec'd
7e. HEATING/AIR CONDITIONING/FIREPLACE PERMIT ,. ( d
41INNESD° I.Pink File PERMIT NO. ^'
2.Green City O [ O 2.-t
3.Yellow Applicant Q
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICAN �..Z"�77
(Name) r t o r Le..Je_ a-�q 1 Co (Phone) 7— /!
(Address) /6 S kI/ PG bf k 6/-400 K 64--
(Address) (City) (Zip Code)
(Contact Person)< .C. 1 1 (Phone) 9,5,z—LP/ 7_/ /7)
APPLICANT SIGNATURE �! _ . DATE
APPLICANT PLEASE COMPLETE BELOW
['NEW CONSTRUCTION ,EPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL N 41—
FLUE
1FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
.121aarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation
„..12/fir Conditioning 0 Special Devices Fireplaces with Box Additions or
[Went.System ❑Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL 4ow;G4,- S
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 $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ z/ 9,-ry
STATE SURCHARGE $ �_ d230
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid5V c Rec ' t No. (l� j/ c)
f.
Building Official Date Dat/ if�/-// 6
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
2/8/2016
O PRI°-'
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Monday, February 08, 2016
Homeowner or Current Resident
5550 CROSSANDRA ST SE
Prior Lake, Minnesota 55372
Re: Building Permit Number 10-1028. We request your help.
In review of the building permit files, it was discovered there is an open permit for a
Furnace at the above address. Please call by Monday, February 22, 2016 to set up an
inspection. If there has been no contact from you by this date, the City will deem the
permit abandoned and invalid. (Per State Building Code R105.3.2.) This permit
abandonment will be recorded in the permanent public record for this address.
Any new work relative to this type of building permit will require a new permit along
with new permit fees.
Please call the Building Department at 952-447-9850 to schedule your inspection date.
Thank you for your cooperation.
Sincerely,
Building and Inspections Department, City of Prior Lake