HomeMy WebLinkAboutHEATING PERMIT 16-0871 q DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED G 2o i -----ADDRESS LI Il.Q 1e_v1_tom-- i T11 (n�
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OWNERCONTR. /
PHONE NO. PERMIT NO. / <
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
p FRAMING 0 WATER HOOKUP
❑ FOA0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST❑
❑ SITE INSPECTION _ MECH FINAL
COMMENTS: 19, i ,.i J
Amman
,
X• IMIllocog- 01A- 'A— •
WORK SATISFACTO- ,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE• •RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
' Owner/Contra
LCAL '':•0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
IMSNOTI
o� PR1grP CITY OF PRIOR LAKE Date Rec'd
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�' � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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NNESO
. Pink Filc PERMIT 7/
2. Green City NO. /. �
3. Yellow Applicant (J7
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1 L\da0-ITCCAnAfPrgq10 A M 0
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER1 (Phone) —a�7-7�PP�
(Name) 3o,ne-A-1-e _- a\1,
i (Address) 40(_o(C <,rCrYpO 4xQ k1 )43 ProrL-A_Q 1\60 /(�
APPuec jr ' �1 \__\,..a. , �W t��C � (Phone) 7(C 1-177—Z\��J
Name � 1�, -`y_ `� ,���� i r `�-�-'7']
(Address)OtE;c{- f 1.��flx�(V�l/\ s r. to c ILPOi J I I J- 1 T
(Address) (City) (Zip
(Contact Person) '' Oak _.411\11.A �� (Phone)-76. -z177
7"MEM APPLICANT SIGNATURE i A 11, WOS— I
APPLICANT PLEAWCOMPLETE BELOW
['NEW CONSTRUCTION n 'ad\ REPLACEMENT El ALTERATIONS
FURNACE MAKE AND MODEL \(CLL `ci F.94 -JI 1S I 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
❑Gr ity 0 Hot Water into Required Side Yard Setbacks.
Mechanical 0 Radiation Fireplaces with Box Additions or
:kir Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent.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) $64.501tResidential,AC Only $49.50
//1
Estimated Cost$ `" 1. Building Permit #
HEATING PERMIT FEE $ in.'s-0
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ ' SC). a-_
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid -��, Receipt No.
47:3f-/
Building Date Official Date v• -/(6J
(/J
24 hour notice for all inspections(952)447-9850
d6.16 Dakota Strept C F Prinr i.akp Minnpcnta 55177