HomeMy WebLinkAboutHEATING PERMIT 16-1199 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 1 (214±_e
INSPECTION NOTICE
ADDRESS S.3a LL LDS t)
OWNER CONTR. / q
PHONE NO. PERMIT NO.
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
0 MECH
❑ FOUNDATIONRI 0 COMPLAINT
0
❑ FIREPLACE FRAMINGRI 0 WATER HOOKUP ?ET—FIREPLACE FINAL
p INSULATION 0 SEWER HOOKUP
❑ FINAL
0 PLUMBING FINAL ❑ GASLINE AIR TST❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: Cocks 12-
muff. am
v
,,/!fWORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC j'K,CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contra
�. Ir
CA 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
o� Pxro�
ti� CITY OF PRIOR LAKE
v 'E HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd
N ESo
1,Pink File PERMIT NO.
(Please3, Groep City // ///�//
�e or 'art and siy� at bottom 3, Yellow Applicant Cr7 % (J
ADDRESS
5 30 , I ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) /A i
1 _ " _ .�'- �'. )
�c�A (Phone)
//
(Address) ( ' W J�.2ei f' :
•
55
APPLICANT -
(Name) _ 1.\ Ci I r 1-- X111.-. (Phone) (=I sa-Li GI c�----/ f�P
(Address) 1 it •1 ,I
a
(Address) An
i(Contact Person) 'L M (Ci,W (Zip Code)
APPLICANT / IMF _ bone) S� -Lei D -���
SIGNATURE JIM..
Afilisea /0 —7 IP
APPLICANT PLEASE COMPLETE BELOW
FURNACE MAKE AONEW MODEL CONSTRUCTION ❑REPLACEMENT
NDi'ALTERAEIONS
FLUE SIZE FUEL
RETURN OPENINGS INPUT
TYPE OF SYSTEM OUTPUT
MATING' OR POWER PLANT
o Warrrt Air Plants PLEASE NOTE; Air Conditioner
>ty
0 Steam
�hanicai El
HotWaterUnits and Fireplaces Cannot Encroach
❑Air ConditioningRadiation into Required Side Yard Setbacks.
❑Vent. System ❑Special Devices Fireplaces with Box Additions or
❑Other Devices Cantilevers to the Outside of Buildings
:'l _ Require a Building Permit.
FIREPLACE MAKE AND MODEL • I
Industrial, Commercial&MultiFamil FEE SCREDU
y 1%of job cost es>dential,Gas Fireplace
Residential,Heating&NC $49.50 minimum $49.50
Residential,Heating Only (New Construction) $149.50
g (New Construction) $64.50 Residential,Additions&Alterations $49.50
Residential,AC Only $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT PEE $ 4E1 ,
STATE SURCHARGE $
(Office Use Only) TOTAL PERMxT FEE 1.00
This Application Becomes Your Building Permit When Approved Paid
Receipt No.`/1 / ci
Building Official
Date Date O , 1( P
24 hour notice for all in.cnPrtin.,c/o C7\ AA.f nocn