HomeMy WebLinkAboutHEATING PERMIT 10-0435 •
~ DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED MAR 2 3 2016
ADDRESS / /O S
OWNER /fQ2CONTR.
PHONE NO. PERMIT NO. �a. ‘136-
FOOTING
35FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑ '
COMMENTS:
ice.!
iltillirgoragnanny
!�I
O WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
r Rro� CITY OF PRIOR LAKE (7010 01/9* Date Rec'd
,, HEATING/AIR CONDITIONING/FIREPLACE PERMIT S 2_,5 i16INivEso�� ITy
l: 1.Pink File 2.Green
PERMIT NO.
6 43
3Y
3.YellllooCity /w Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/(g 94 0 dv55 , .)e 3E
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER Q ,{•�
(Name) (3 c� J .�\�C (Phone) /�J 1191 4,70(.I 19096
(Address) /1p 9y° Q\kit tA5 Au e. ,SL
APPLICANTt
(Name) CCC`\S\C. AA (Phone) %i ±-60/67
(Address) 36960 Gtke4kA '5k aC611/61 .6..--40 /8
(Addre s) (City) (Zip Code)
(Contact Person) � l 5&1 (Phone)
APPLICANT SIGNATURE DATE
APPLICANT PLEA E COMPLETE BELOW
❑NEW CONSTRUCTION aREPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL k�NA e6g\(46360G G FUEL 44 V
FLUE SIZE ('\� RETURN OPENIN S INPUT (MLA__ OUTPUe,')GM
TYPE OF SYSTEM HEATING OR POWER PLANT
drm Air PlantsPLEASE NOTE: Air Conditioner
`
0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water
❑Mechanical 0 Radiation into Required Side Yard Setbacks.
❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or
OVent.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
Estimated Cost$02300 Building Permit #
099 6—v
HEATING PERMIT FEE $
STATE SURCHARGE $ r .50
W
TOTAL PERMIT FEE $ W
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid , eu Rece Dat ' o/_ 0 3 77
2 cy
Buildin¢Official Date 7 i 6 By �P
,
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
of P111(4
`iivraso*
Monday, February 08, 2016
Homeowner or Current Resident
16940 LYONS AV SE
Prior Lake, Minnesota 55372
Re: Building Permit Number 10-0435. 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