HomeMy WebLinkAboutHEATING PERMIT 10-1021 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED MAR 2 3 2016
ADDRESS /5'7'7e
OWNER CONTR.
PHONE NO. PERMIT NO.
0 FOOTING ❑ PLUMBING RI
0 FOUNDATION ❑ MECH RI ❑ COMPA
❑ FRAMING 0 WATER HOOKUP 0 COMPLAI FILLING
NT
0 FIREPLACE
0 INSULATION 0 SEWER HOOKUPFI
❑ FINAL 0FIREPLACE FINAL
0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS: 1,14i)
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' 1MEN r • •
IVAPAI ���1/r�rimely/ann
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr. --
CALL 447_9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
4VSNOTl
04 r Rro� CITY OF PRIOR LAKE Date Rec'd
A. , HEATING/AIR CONDITIONING/FIREPLACE PERMIT
r,,'
4Thonisoo 2.,.Or cn CiFilety PERMIT NO./0_ /0 Z i
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3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
t 1 .10 Ff JD/Vl0 I\-1( �
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER I >
(Name) lam,\r t-, B ow cK (Phone) CIS 2"`11-7- (.3(1,2
(Address) k 5 b P LO✓l f 2-
APPLICANT y� ,I II-,^, Y
(Name) I el T�' �1 r' /� (Phone) 5 Z-33 -- ^7
Address b`�i W 1,k.- '1 T'''-e- S �,�,( ,^, �� � \7 C All) ss 3\-I y
(Address) �'� v�'�l �✓0..l
A ' ( dress) (City) (Zip Code)
(Contact Person) UU 0.CU. S- di 9 W� (Phone) S�-t�e
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APPLICANT SIGNATURE ('L- DATE k)/Za /(a
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ®REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL A.-d- 35 SLIT V o boa g o FUEL -66-3
FLUE SIZE RET IYRN OPENINGS INPUT SO, t) 0 OUTPUT `1 C., 0 00
TYPE OF SYSTEM HEATING.OR POWER PLANT /
PLEASE NOTE: Air Conditioner
❑\'Yarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
Gravity " • 0 Hot Water
Mechanical into Required Side Yard Setbacks.
❑Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑Special Devices
[Went.System ❑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 $49.50
U
Estimated Cost$ _``X56• O b Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ •S(6
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid �.- L Rece' t No. 6/6 50
Date11
Building Official �Date /d .
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
U tr1
`tIINnrESO .
Monday, February 08, 2016
Homeowner or Current Resident
15770 FREMONT AV NW
Prior Lake, Minnesota 55372
Re: Building Permit Number 10-1021. 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