HomeMy WebLinkAboutHEATING PERMIT 15-1152 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 16 1.
ADDRESS 3/429 __\g e-5
OWNER CONTR. /
PHONE NO. PERMIT NO. J,7 ,[15 2_-
13
_❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUPFIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP )FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
1
Nose_ ' t
P
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE ORK,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!
INSNOTI
o1 PR/04.
�, CITY OF PRIOR LAKE Date Rec'd
c)
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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1.Pink File
2. Green City PERMIT NO.A5-_1/52
(Please type or print and3. Yellow 1�pPlican[
sign at bottom)
ADDRESS Y ZONING(office use)
t, t'o1 �.JeFEe4- ?II r)2t A '
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(OlvaWNER � -t' -1 .A 1(1 l,hArS'O
ry (Phone) (0 / 2- _06 0 /29
(Address),.31 to 7 j--e, Ff er t 4-f E&).4 y / V ail
APPLICANT
(Name) Er pa 6.4-L .51 (Phone) t L. 2 &o 3 Z14 /
(Address) 1 S 7 v I \ M ' o ce J S \4,1>c iene✓.e TY‘A 55-377
(Address) (City (Zip Code)
(Contact Person) ITe IF 1-t_�'�3„ (Phone) L� ' ofcv y jam'
APPLICANT SIGNAT «DATE '2.--124" / c
J
APPLICANT PLEASE COMPLETE BEL W
[NEW CONSTRUCTIQ�,N ❑REPLACE LTERATIONS
FURNACE MAKE AND MODEL C 0 Ott a re? _� AI Hee N G'/� S•'�-�J a i✓9 FUELtiff G /.c
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
['Warm Air Plants Steam PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water
into Required Side Yard Setbacks.
El Mechanical 0 Radiation
DAir Conditioning 0 Special Devices Fireplaces with Box Additions or
❑Vent.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 $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ 1-17, 50
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ %
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt Na
Date a �
By �,,,- d
Buntline Official Date Gt,{�
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372