HomeMy WebLinkAboutHEATING PERMIT 16-1311 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICES SCHEDULED PIA(At
ADDRESSj-4
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
"I❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
CFINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
SITE INSPECTION 0 MECH FINAL 0
COMMENTS: _ ft/14-(0-
61
i"WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
OW .
O� PRI0
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
ArNE$O
2.
I. PinkGreen CFileity PERMIT NO.
- (3,
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
577 1p S a nc)n --'Mt . S
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)
OWNER Lyte I r- JV1OJ1 (Phone) CIS --912--LigL5
(Address) 511(0 i1 c a * T . SE Pram- Lake M N 5c53-12.,
APPLICANT Standard Heating&Air Conditioning
(Name) 130 Plymouth Avenue North (Phone)
(Address) Minneapolis, MN 55411-3445
3 e2
/t 612 6 (City) (Zip Code)
(Contact Person) -TU G1 Ulijc- (Phone) I.Q l Z-'14 SU'
APPLICANT SIGNATURE ____dliniMel Ciall----
DATE 11 / b i / IU
APPLICANT PLEA E COMPLETE BELOW •
❑NEW CONSTRUCTION ` REPLACEMENT 0 ALTERATIONS }, ' n/' +
FURNACE MAKE AND MODEL Bryant 31' r FUEL MAIM.' S
FLUE SIZE RETURN`OPENINGS INPUT (J lk 14. OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner
Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical D Radiation Fireplaces with Box Additions or
Xi„Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
[Went.System 0 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 $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ q l 60
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ X0.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 50 i Recei5 No.e130
B
Building Official Date Date 1 i' j(„ Y
244 hour notice for all inspections(952)447-9850
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4646 Dakota Street S.E.,Prior Lake,Minnesota 55372