HomeMy WebLinkAboutHEATING PERMIT 16-1358 DATE TIME
Y PRLA
INSPECTION IOR NOTICE SCHEDULED r 2,\7 (ip
ADDRESS .75 /
\-,yv,-�,,.
OWNER 11 CONTR.
PHONE NO. PERMIT NO. 1 (,. ( 13S h
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: v a.&j
Q ic. j GL=,--
itiATIORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,�CryAL�L FOR REINSPECTION BEFORE COVERING
Inspector: C;�G Owner/Contra
CALL 447-9850` FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.
INSNOTI
0 P Rro� RIR Date Rec'd
HEATING/AIR CITY CONDITIONING/FIREOFPOLAKEPLACE PERMIT
0
civNESoP 1. Pink File
2.Green city PERMIT NO. f6, i3 �'I
3. Yellow Applicant [.
(Please type or print and sign at bottom)
ADDRESS _ ZONING(office use)
5'1 9 q 51-ytin ru il. I‘1,i l
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNERii
` ((Q/,,
(Name) .1.1 (,y5
(Phone) , ' 1 O Y/ " 0-7s
(Address) 4n "`.„,. 1
APPLICANT Appliance Connections Inc. (Phone)
ame 12850 Chestnut Blvd.
(Address) Shakopee, MN 55379
-. .:1F (City) (Zip Code)
(Contact Person) _ /1 OP •' '.-J (Phone)
APPLICANT SIGNATURE , ,�/I ..III : . DATE 111 /
/ APPLICANT PL EXE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODELaICe1 f) )P 0 ifS a 0 6 -X FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
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 into Required Side Yard Setbacks.
9 Mechanical 0 Radiation
j'lAir Conditioning - 0 Special Devices Fireplaces with Box Additions or
■ ent.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 $49.50
Estimated Cost$ J i U Building Permit #
•
HEATING PERMIT FEE: $ 49`✓°
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 531,50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid ,5-D_-6---0- Receipt No.6/417
Building Official Date Date/7. i / G By
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372