HomeMy WebLinkAboutHEATING PERMIT 16-1363 DATE TIME
CITY OF PRIOR LAKE 1
J 12c! I
INSPECTION NOTICE SCHEDULED [
ADDRESS ( 77 g `'f Coo-k-\
OWNERLCON
7
PHONE NO. PERMIT NO. (//6 —'G/J(o„...„7
❑ 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: ( & e ge-CL\--4.1"
I. Patc.11 1AQr-P ; n i€-)6ti4
C'.
\05-e_ 4-t,
❑ WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
O CORRE K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.'
INSNOTI
04 rizioie CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
x f/ZL. C
1.Pink File PERMIT NO. j/_` i'_
`�NNEsdc'' 2.Green City /Le (P
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
sSq C.1 ectr- TrC
LEGAL DESCRIPT N (office use only) /✓o/ Act/ j
LOT BLOCK ADDITION e PID 25--- - (2
OWNER
(Name) N CQOIIA e,r- (Phone)' -331-7 1 ?4
(Address) //g5N(I Clear): PPrZ__
APPLICANT
(Name) (Phone)
(Address)
(Contact Person) , .A mg., ; pi (Phone) 3400 , s3/- 7/ 7'V
APPLICANT SIGNATUcc/ DATE 1/42 1 /!
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ' ❑REPLACEME T VJ ALTERATIONS
FURNACE MAKE AND MODEL Cepo=r i•_ — „it ,' FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
El Warm Air Plants El Steam Units and Fireplaces Cannot Encroach
El Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑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 $49.50
Cost$ Build Permit#
HEATING PERMIT FEE $ `SV
STATE SURCHARGE $ .00
TOTAL PERMIT FEE $ 50 �Q
This Application Becomes Your Building Permit When Approved Paid SQ Receipt No. .71/. 3 5
4`/
Building Official Date Date lz ///t!! By
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372