HomeMy WebLinkAboutHEATING PERMIT 16-1244 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS
CONTR.
OWNER
PERMIT NO. I
PHONE NO. ❑ �GRADIFILLING
0 PLUMBING RI 0 COMPLAINT
❑ FOOTING 0 MECH RI 0 COMPLAINT
RI
❑ FOUNDATION 0 WATER HOOKUP 0 FIREPLACE FINAL
❑ INSULATIONAG 0 SEWER HOOKUP IREPLA AIR TSL
❑ A 0 PLUMBING FINAL .
❑ FINAL
❑ SITE INSPECTION 0 MECH FINAL .
COMMENTS:
AEAAL
WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
pWner/Contr.
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOT'
`� CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
( i7
2. Pink
city PERMIT NO.
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I l.o q LQ- C,r im c.I-. se
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 5h e.i I Q, &-.e..,tne, (Phone) LIZ- )1) % b�1 D Lf
Phone
(Address) - r'l(Q1 Cr i Im o r 0- S e
APPLICANT
(Name) MN Plumbing & Appliance, Inc (Phone) q 52— 1-10q-83`-f I
(Address) 14105 Rutgers St. NE
Prior Lake, Nd50372 (City) (Zip Code)
(Contact Person) M I t,(/((j L (Phone)
APPLICANT SIGNATURE ,—__________ DATE )0'.1(- °
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam
Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water
Mechanical ❑Radiation into Required Side Yard Setbacks.
Air Conditioning -❑Special Devices Fireplaces with Box Additions or
['Vent.System 0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL 1. /�
FEE SCHEDULE I hS Q �QS I(�_(nloMl ter IAS nail (
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 $49.50
Estimated Cost$ f 2C6-v Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $SO-5D
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 50 .D Receipt No.1 ZL'
Building Official Date b (/�Dater(} �'^ii By
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372