HomeMy WebLinkAboutHEATING PERMIT 16-0729 DATE TIME
CITY OF PRIORNOTICE LAKE SCHEDULED (2'_1:144,e_
-----
INSPECTION
ADDRESS
2- 1 G te s
OWNER CONTR.
PHONE NO.
PERMIT NO. Ao• �Zvl
0 PLUMBING RI 0 EX!GRADIFILLING
❑ FOOTING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑❑
INSULATION 0 SEWER HOOKUP0FIREPLACE FINAL
FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
MECH FINAL
❑ SITE INSPECTION 0 r .��•
COMMENTS: (�
II..
WOR
SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Cont
ra
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.
1NSNOTI
A
CITY OF PRIOR LAKE Date Rec'd
\ HEATING/AIR CONDITIONING/FIREPLACE PERMIT
-P i.rink File
NNSO PERMIT NO. t(O , ��
2.Green City
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
l (912104 Lakeside Me 0 E
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Ta\ie 4 are Lc�.bv---e (Phone) qS 4r'J-1-3320
(Address) 1 ( 262 Lake Side /Avt /3E
APPLICANT
(Name) Ron' s Mechanical (Phone) 952-445-8585
(Address) 2026 Colburn Drive Shakopee, MN 55379
(Contact Person) Linda (Phone)
APPLICANT SIGNATURE 1A0-401/47 DATE (D'air'r(.0
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTIONE EPLACEMENT ❑ALTERATIONS //
FURNACE MAKE AND MODEL \,fl� E ..2gcp u P //0 F EL N(1
FLUE SIZE RETURN OPENINGS INPUT I/O. OUTPUT /Ci ( OO
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants El Steam Units and Fireplaces Cannot Encroach
0 gravity ❑Hot Water into Required Side Yard Setbacks.
echanical ❑Radiation Fireplaces with Box Additions or
EAir Conditioning El Special Devices 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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ t
STATE SURCHARGE $ .00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid .5-0-.So Receipt 030
No., ef
Building Official Date Date -7, (- (, By
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372