HomeMy WebLinkAboutHEATING PERMIT 16-1287 CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 8
ADDRESS 3 oab t-( L41C-P PiI)1..)W �"'`
OWNER CONTR. DATE TIME
4
PHONE NO. PERMIT NO. It ( 23 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: 1, AC -4- )
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7 WORK SATISFACTORY,PROCEED
❑ CORREC •CTI• AND PROCEED
❑ CORR' T We-K,�ALL FOR REINSPECTION BEFORE COVERING
Inspect•r: Owner/Contra
CAL •7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
o ,,,PRIp1i CITY OF PRIOR LAKE Date Rec'd
>., Azr "4 eHEATING/AIR CONDITIONING/FIREPLACE PERMIT
*,3
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1.Pink File PERMIT NO.
INNEsIC� 2.Green City Rd 1 2-8 7
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
32)4 LNff 3g4 1\NJ
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 1\\G f rU ' KlaTICI ) Cpl2- 2- J • 137-5(Name) (Phone)
(Address) .?2191-1 'fluff CEA IQ
APPLICANT f
(Name) 0 iif i 585
�, MI - i C • (Phone) ,92 - 14,--1 -
(Address) Wao ahAril Tr'h v° S1 .K-OP M
(Contact Person) di / 00174/ 1/161-61/ (Phone) . 2 . oz.i 5. 2W5
/ /
APPLICANT SIGNATURE at • ' N�it.�..Q'✓ DATE ID/c / /6
4
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION PLA�CC�EMENT 4,' '/❑ALTERATIONS, ���
FURNACE MAKE AND MODEL L nriOY E U 60/4Og(X ,4o C FUEL /V
FLUE SIZE RETURN OPENINGS INPUT c' WCV OUTPUT 86, yd 0
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 ❑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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ `�
STATE SURCHARGE $ .00
TOTAL PERMIT FEE $ .5
This Application Becomes Your Building Permit When Approved Paid 50 /50 R eipt No-730/0
Building Official Date Date 11, L+ ( B
24 hour notice for all inspections (952)447-9850
4646 Dakota Street S.E., Prior Lake,Minnesota 55372