HomeMy WebLinkAboutHEATING PERMIT 16-1013 CITY OF PRIOR LAKE
INSPECTION NOTICE DATE TIME
SCHEDULED !6 5
ADDRESS c Q
OWNER U42cJ c
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CONTR.
PHONE NO.
PERMIT NO. /6— /. 'h `
❑ FOOTING
❑ FOUNDATION 0 PLUMBING RI
❑ FRAMING • ❑ MECH RI ° GRAD/FILLING
❑ INSULATION ❑ WATER HOOKUP ❑ COMPLAINT
❑ FINAL ❑ SEWER HOOKUP 0 FIREPLACE RI
0 SITE INSPECTION ❑ PLUMBING FINAL ❑ FIREPLACE FINAL
0 MECH FINAL 0 GASLINE AIR TST
COMMENTS: ( 0
,r►'�i"i'ii ,
X WORK SATISFACTORY,PROCEED
0 CORREC CTION AND PROCEED
0 CORR- T ,t ORK,CALL FOR REINS PECTION BEFORE COVERING
Inspector. AL
Owner/Contr.
CALL 447_g,
0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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4 PR/O
*e CITY OF PRIOR LAKE Date Rec'd.,,AN
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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1. Pink File
2. Green City PERMIT NO.
13 3. Yellow Applicant /v ' a
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3715 ISLAND VIEW CIRCLE NW
LEGAL DESCRIPTION(office use only)
LOTO10BLOCK 001 ADDITION ISLAND VIEW 2ND ADDN PID 251590100
OWNER
(Name) HORST GRASER (Phone) 612-791-2700
(Address) 3715 ISLAND VIEW CI NW, PRIOR LAKE, MN 55372
APPLICANT
(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 (Phone) 763-512-2765
APPLICANT SIGNATURE I.._.4,., , -., , DATE 08/29/16
/
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ®REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL DAIKIN DM96VE1004CN FUEL NATURAL GAS
FLUE SIZE RETURN OPENINGS INPUT 100,000
OUTPUT 96,000
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
['Gravity 0 Hot Water p
®Mechanical ❑Radiation into Required Side Yard Setbacks.
['Air Conditioning ❑Special Devices Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
❑Vent.System ❑Other Devices
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 $49.50
Estimated Cost$ 9700.00 Building Permit #
HEATING PERMIT FEE $ 49 S0
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 50.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 50 sz eipt No.
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Building Official Date
Date Ci q1�
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24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372