HomeMy WebLinkAboutHEATING PERMIT 16-1319 CJDATE TIME
CITY OF PRIOR LAKE SCHEDULED 1`_. ----—
INSPECTION NOTICE �l
(‘ i� CR<W
ADDRESS J r i
I
OWNER CONTR.
PHONE NO.
PERMIT NO. Lp
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION 0❑ FOOTINGMECH RI 0 COMPLAINT❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI❑ FIREPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP
S
0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION
❑ FINAL 0 MECH FINAL 0
COMMENTS: }-vc- a- nc,
WORK SATISFACTORY,PROCEED
❑ CORREC •CTION AND PROCEED
❑ CORR A.RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. la Owner/Contra
p .
C• 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
1NSNOTI
ej
,,,,(77111<-91.,, CITY OF PRIOR LAKE Date Rec'd
9
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
KLANES°
.....___
..'',!,"'Ln Ciiy x�le PERMIT NO./62 ( (CC
3.Ycllow Applicont
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
ii(-0S irJ�tdc Paa-uvo\ki Piney LakA AAW -,t6-72
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNERPhone (A I Z" 23^3- 0(P-1(D
(Name) Dr! 'n a 4 C1llG. Pdi,] (ray-) Vl (Phone)
(Address) , _. f . A J 1 I iIL iA.f n, A 1 ► ti. 9 -72_...
,
APPLICANT
(Name) k 1 S \--I?,C1 ti V\ C1 1 kr {,QYNri I.von 1 V101 (Phone) Gi D.7" 2-9>-2-- '
lvtfolo IJV, iVv(., J c)vI� 2S J' `�C�(Address) `--H T H V' 9 14 to
i c (Address) (City) (Zip Code)
(Contact Person) Z(d e3�t
l i! 11n (Phone) 5 G-1- (P t 2-77-2'JZ-
/
APPLICANT SIGNATURE . DATE /l" ., --/:C/
APPLICANT PLEAS COMPLETE BELOW
DNEW CONSTRUCTION ►T4 REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL lac',VI VV.5 x l S a clqi J i'Ab\0 X N.r U0 G FUEL
FLUE SIZE RETURN OPENINGS INPUT '0,0g)DTI)U OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
QGravity 0 Hot Water into Required Side Yard Setbacks.
(Mechanical 0 Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent.System 0 Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE $49.50
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace
$49.50 minimum $49.50
Residential,Heating&A/C(New Construction) $149.50 Residential,AC Only
Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50
Estimated Cost$ (0, 1 4 0, 00 Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 0 - SO
(Office Use Only)
Rece} t No. • �� ��
This Application Becomes Your Building Permit When Approved Paid 6'0 -.)-t.) C�
Building Official Date Date 4 1 I 01.1 I By _
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372