HomeMy WebLinkAboutHEATING PERMIT 16-1354 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /2-JAILL
ADDRESS /CI H Cf aCt 4414.+c-
OWNER CONTR. (
PHONE NO. PERMIT NO. (CD` 1 Ll
❑ 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 0
COMMENTS: Qeo( ,I.„->k gTunvi-c,°5-- - nG
r
C k 65_0 At--
c.,
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECK,CALL FOR REINSPECTION BEFORE COVERING
i (
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
C104,
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT f �% e;
�e'
5�
.
'. pinkGreen Filey L PERMIT NO.l� J`3 �..
2Cit
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
ILNAU OrKM4C b1/4)ON NIL)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNERn 0 v In
(Name) G) 1 1 a-t—-\-- &Ay)I/6v.) m nor I (Phone) (051 7JJU-ism
(Address) 'L1I1\D Q,�Al C4 Wak\I / V U 1, (4- (Jou_ wn Gs5-72._
APPLICANT I
(Name) BURNSVILLL riLA1 ING&NC, !NU (Phone)
3451 W.Burnsville Parkway
(Address) Suite 120
Burnsville,kltitc5607 (City) (Zip Code)
(952)894-0005
(Contact Person) K,'I i t V UV` Q n)4 (Phone) n
APPLICANT SIGNATURE .S.- ' )/ )1 DATE /I-9- 1(J!
✓ '
APPLICANT PLEASE COMPLETE BELOW
ANEW CONSTRUCTION ,gi REPLACEMENT ❑ALTERATIONS'
�\�-
FURNACE MAKE AND MODEL k V "OynGn l U I vn LI C,► �`- FUEL i' W- 6,
FLUE SIZE RETURN OPENINGS INPUT (n((X O OUTPUT 1(/( O
TYPE OF SYSTEM HEATING OR POWER PLANT
['Warm Air PlantsPLEASE NOTE: Air Conditioner
LI Steam Units and Fireplaces Cannot Encroach
DGravity ❑Hot Water
El Mechanical into Required Side Yard Setbacks.
❑Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑ Special Devices
IN Vent.System 0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
''' • - ' MAKE AND MODEL OAP,�C�03(9.Ik 3 At\
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 $49.50
Estimated Cost$ ISMO-a O Building Permit #
HEATING PERMIT FEE $ LI 0.
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ Ste 130
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 50, 6.7) Receipt No. 746
Date/4„ /4 !cpBy
,e,
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372