HomeMy WebLinkAboutHeating Permit 16-832 DATE TIME
CITY
INSPECTION OF PRIOR LAKENOTICE SCHEDULED to Z
ADDRESS I—'
OWNER CONTR.
PHONE NO. PERMIT NO.
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOOTINGFOUNDATION 0 MECH RI 0 COMPLAINT
p 0 WATER HOOKUP 0 FIREPLACE RI
❑ FRAMING0 SEWER HOOKUP 0 FIREPLACE FINAL
p INSULATION SITE INSPECTION 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ S
❑ FINAL 0 MECH FINAL 0
COMMENTS: c3 . LA.v -
0,1111411111 .
XWORK SATISFACTORY,PROCEED
I,CORRECTfilON AND PROCEED
0 CORREC ' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.. '
CAL '• 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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CITY OF PRIOR LAKE Date Recd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
l''NESO�
Green to PERMIT NO. / 6, _ v 3
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 1 ZONING(office use)
3LI 1 ��11 L, `o I lJ n LL a 1 er Ir'o—i
LEGAL DESCRIPTION(office use only)
LOT°BLOCK O° ADDITION c,I1nw .e - I cri. PID a. 35 aOGIo
(Name)OWNER �c4.0 K- 1-AOS-\-(5.(c:1 (Phone)%a -(41-11- a'31S
(Address) 34 I c. Cl 6rl� �-el— -Trc 1 1. 1, or LCLk€, fl )� 53-12
APPLICANT V
(Name) CENTERPOINT ENERGY (Phone) 763-512-2765
(Address) 6161 GOLDEN VALLEY RD, BLDG A GOLDEN VALLEY, MN 55422
(Address) (City) (Zip Code)
(Contact Person) JOANN ZINKEN (P one) 763-512-2765
Aa
APPLICANT SIGNATURE �/ . I , ' i4,e4..,,l ,_ DATE //5/6
'PLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION 'fg REPLACEMENT E ALTERATIONSS 1 �+
FURNACE MAKE AND MODEL Da.��C`�1\ b 1 ► ' q 1 \i 0(544 .t E 1 �CFUEL `tel �dLI c&
FLUE SIZE RETURN OPENINGS INPUT MO i 000 OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
['Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water
EaMechanical into Required Side Yard Setbacks.
❑Radiation Fireplaces with Box Additions or
litAir Conditioning ❑Special Devices
❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
(-- ,;"r Cbnc:I. A-.%0 ner - It ;rx ZX 1 (e5 +46�a l
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) $64.50 Residential,AC Only
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ LI k.
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ `Si3.S6
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid /4` so Receipt No. 6 3
,53
Building Official Date Date-1, Z.1, 163 $3L-t
24 hour notice for all inspections(952)447-9850` \J
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372