HomeMy WebLinkAboutHEATING PERMIT 16-1217 DATE TIME
CITY OF PRIOR LAKE SCHEDULED C y ----
INSPECTION NOTICE
ADDRESS ii-f9 24 /
OWNER CONTR.
PHONE NO. PERMIT NO.
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION
❑ FOOTING0 MECH RI 0 COMPLAINT
FIREPLACE RI
❑ FRAMING 0 WATER HOOKUP 0 REPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP GASLINE AIR TSL
❑ FINAL 0 PLUMBING FINAL 0
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
6
WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspect'• 4 Owner/Contra
CALL •7-9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COT '"" 'ENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
O PRIp
, 4.e CITY OF PRIOR LAKE Date Rec'd
B FIEATING/A1.R CONDITIONING/FIREPLACE PERMIT
t
,�rAiA.B S,O��
1.
2. PiGreenk n aleCity ��, /�r PERMIT NO. 7
(Please 3, Yellow Applicant
a or .rint and si:+. at bottom
ADDRESS ZONING(office use)
a r ,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER , • • .J 0 -ll Cj S _q-7
tt `' (Phone) a� ��f0 �b
(Address) I `i�i�� c6 / Proc . - dui "1
APPLICANT _
(Name)------1 t 6 >R t ' ' 0-r 44\ 4' 1 (Phone) 69D.--91-4 o�-4 a (7(P
(Address) ��•
OZ) awl r1 I . _a ✓v� k) SS'3 S z--
_
(Address) (City) (Zip Code)
(Contact Person) • n
(Phone) `- 5a— 1161 --9 a-7
APPLICANT SIGNATURE „ ,_ _ / /Lt. •SATE I b/(Z /
— APPLICANT PLEASE COMPLETE BELOW
[NEW CONSTRUCTION ❑ REPLACEMENT2)(ALTERATIONS
FURNACE MAKE AND MODEL
FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT ----
❑Warm Air Plants ❑ Steam PLEASE NOTE: Air Conditioner
' Units and Fireplaces Cannot Encroach
eehanical ❑Hot Water into Required Side Yard Setbacks.
Air Conditioning ❑Radiation
OVent. System
❑Special Devices Fireplaces with Box Additions or
❑Other Devic:. Cantilevers to the Outside of Buildings
FIREPLACE MAKE AND MODEL, II,, Require a Building Permit.
Industrial, Commercial&MultiFamil FEE SCHEDUL
y 1%of j ob cost /Residential,Gas Fireplace $49.50
Residential,Heating&A/C $49.50 minimum
(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 $ Li9 •STD
STATE SURCHARGE $ 1.00
(Office Use Only) TOTAL PERMIT FEE $ 50 .S.-CD
This Application Becomes Your Building Permit When Approved Paid K71y _-
J� `j V Rec rpt No. 1 5z.„
Building Official
Date 6 batet`!v�1 ;l q,ll(//- B
'
24 hour notice for all in.n *inns(OC'i\ 4A•1 noun