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HomeMy WebLinkAboutHEATING PERMIT 13-0011 DATE TIME CITY OF PRIOR LAKE SCHEDULED _______ INSPECTION NOTICE X563, /# , S ADDRESS / OWNER CONTR. / PHONE NO. PERMIT NO. / { 0` ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING 0 MECH RI 0 COMPLAINT 0 FRADATION0 FIREPLACE RI FRAMING 0 WATER HOOKUP ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL ❑ FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL COMMENTS: Cto5e te h te ❑ WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Inspector. Owner/Contr. CALL 447-9.50 •R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! wSNOT1 ( R'o4 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT Z:3 gi .tfIN1vEsdc 1.Pink File 2. Green city PERMIT NO. /3 _Oil (Please type or print and sign at bottom) 3.Yellow Applicant ADDRESS i� 6 �/ sg ZONING(office use) SS 63 k. ,.0e4.0.4944s 1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (PhoneQS2.— Wi- Z °r (Address) j S S 4,v,- -( � 4c, APPLICANT (Name) Standard Heating &Air Conditioning (Phone) (Address) 130 Plymouth Avenue North Minneapolis,MN 55 h (City) (Zip Code) 612-824-26 (Contact Person) APPLICANT SIGNATURE / 0.411.44.4 — DATE Y2,. APPLICAN 4 EASE COMPLETE BELOW ❑NEW CONSTRWCTIO�-N�/ jPL�ACEI ENT El ALTERATIONS (!�/© FURNACE MAKE AND MODEL /v �/ `L "V�-Qv'S FUEL allP.FLUE SIZE RETURN OPENINGS INPUT �►� OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT Warm Air PlantsPLEASE NOTE: Air Conditioner DGravity 0SteamUnits and Cannot Mechanical kA 0 Hot Water into Required Side Yard Set acksoach ❑Radiation q ir Conditioning 0 Special Devices Fireplaces with Box Additions or ent.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 $49.50 Estimated Cost$ SS 3 Z Building Permit # HEATING PERMIT FEE $ (..f. ,• 30 STATE SURCHARGE $ TOTAL PERMIT FEE $ 5' ` S o (Office Use Only) L f This Application Becomes Your Building Permit When Approved Paid SV-Sel Receipt No. I/d" 7d 7`" Date >L/�3 By Buildine Official Date / / -- pu 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372