HomeMy WebLinkAboutHEATING PERMIT 16-228 DAT TIME
CITY OF PRIOR LAKE +-
INSPECTION NOTICE SCHEDULED 3 3 t ?�
ADDRESS \ 1 Li c;10 j.k_ka,..,(kia,",...‘c),:,4..„
OWNER CONTR.
PHONE NO. PERMIT NO. (0• 7 ?)
D FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
O FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 G LINE AIR TST
D SITE INSPECTION 0 MECH FINAL
COMMENTS: `&- -
CD )6- C-- yv.. '
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'WORK SATISFACTORY,PROCEED
✓0 C RRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. D„....... Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
4 rnlQosA)
CITY OF PRIOR LAKE Date Rec'd
.1. -vv. HEATING/AIR CONDITIONING/FIREPLACE PERMIT ,^,
,. „,
JOB POCoo tt II V , .
t.Pink File PERMIT NO.
4/INNEse yk\
2.Green City !4 , 2 2 e-
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS �, 1 ZONING(office use)
1 �� 6� S LI n r C�r w
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)OWNER \1 \\ & ko 1 l e (Phone) -l h d- -%s-q a S h
(Address) , �
N •
ame)PPI _ T ��Y 0 x e c t I n/ -A-;
1.1 V (Phone) 612-238-9709
(Address)5720 International Pkwy,New Hope MN 55428 j(
(Contact Person)Jennie Wood (Phone) 612-238-9709
APPLICANT SIGNATURE6A DATE ?j/ n-/ C o
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION � f tEPLACEMENT ALTERigoNS
FURNACE MAKE AND MODEL Cj Y10\ A t 11 < C EL
FLUE SIZE RETURN OPENINGS INPUT 01/-OUTPUT 4 k
T PE OF SYSTEM H1 ING OR POWER PLANT PLEASE NOTE:Air Conditioner
C. atm Air Plants i kteam Units and Fireplaces Cannot Encroach
ravity ' of Water into Required Side Yard Setbacks.
M Mechanical M. 'adiation Fireplaces with Box Additions or
r , it Conditioning II Special Devices Cantilevers to the Outside of Buildings
Ment. System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL ----
FEE
--—
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 $49.50
Cost$ Building Permitil
HEATING PERMIT FEE $
STATE SURCHARGE $ t /�
TOTAL PERMIT FEE $ 50-5-0
This Application Becomes Your Building Permit When Approved Paid 51) . Receipt No. 4 ti
Building Official Date Date 3 24, By LAI `�
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24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372