HomeMy WebLinkAboutHEATING PERMIT 16-0983 ;ATALIE
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED I #0
ADDRESS83c 4 i\et �glrTIME
e -
OWNER CONTR.
PHONE NO. PERMIT NO. /6 . '•33
❑ 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 ❑ PLUMBING FINAL 1 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
C .t1t4.--tA. i
RK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. , Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
i$ IA 32_12 <it 50 , t)
4
CITY OF PRIOR LAKE Date Rec'd
U', HEATING/AIR CONDITIONING/FIREPLACE PERMIT
*isiE$o
2'. Zken F'ey ��.PERMIT NO. c/
. GreCit � e 3
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
53 Shannon T�ao Sf-
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER D.�tnct Sc \tc152-. (Phone) 06� 9L z
(Name) ?? L Tl V i
(Address) ((L
J �� SV�uu on u
APPLICANT
(Name) i L. }-)0 U v «1;f"l Yl of mid Ai Y (Phone) ti S ` l 7
(Address) 1"I DIA VtIrmi Ilion H. 1Ash s _ 3
(Address) J (City) (Zip Code)
(Contact Person) V CAW Ai M a V5h' IJ I (Phone) k.i^S I-Li 1- u 1-7
APPLICANT SIGNATURE ♦A._ I% LJ a`i4 . _0 DATE VP-Z-P c
I
APPLICANT PLEA E COMPLETE BELOW
:NEW CONSTRUCTION PLACE NT ❑ALTERATIONS
FURNACE MAKE AND MODEL ON tI I ) . 'C r . h n FUEL
FLUE SIZE RETURN OPENINGS INPUT 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.
Air
MechConditanicalioLk C;ning CI Fireplaces with Box Additions or
� ❑Special Devices
❑Other Devices
s`a
Vent.System Cantilevers to the Outside of Buildings
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 #
U
HEATING PERMIT FEE $ 1 c ✓
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 6' .)(}
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid `;�1 '0.-} ' ceipt No. (014.-4_--,
Date 0\ Y
Building Official Date L v d
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372