HomeMy WebLinkAboutHEATING PERMIT 16-1019 DATE TIME
CITY OF PRIOR LAKENOTICE SCHEDULED �� ---
INSPECTION
ADDRESS
CONTR.
OWNER
PERMIT NO.
PHONE NO. ❑ GRADIFILLING
0 PLUMBING RI 0 COMPLAINT
❑ FOOTING 0 MECH RI 00 FIREPLACE RI
❑ FOUNDATION 0 WATER HOOKUP 0 FIREPLACE INAL
❑ FRAMING 0 SEWER HOOKUP 0 REPAIR TSL
p INSULATIONA0 PLUMBING FINAL ❑
❑ FINAL MECH FINAL
❑ SITE INSPECTION L
COMMENTS: Li\
.1 111
ORIN
*WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORREC' OK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Cont
ra
Inspecto / �
CAL 10 FOR THE NEXT INSPECTION 24 HOURS IN &SAFETY!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH
mSNOTI
o� ?Riot CITY OF PRIOR LAKE Date Rec'd
,,, c HEATING/AIR CONDITIONING/FIREPLACE PERMIT
f-,
U tr1
1.Pink File PERMIT NO. q
`f1NNESo' '' 2.Green City / (.0. l l
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS - ZONING(office use)
•
35Rq sxfc+ 0 aJ NW
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
gVni1NER 6,2 LL� 1 • 32,88
e) d I IT).
v.� 5 (Phone) �j
(Address) 3 2�f ' 160-th La r-e !kJ . lJl�-t1 q r► yl
APPLICANT
(Name) Ron' s Mechanical (Phone) 952-445-8585
(Address) 2026 Col burn Drive Shakopee, MN 55379
(Contact Person) Tti nda (Phone)
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
e'ci ❑NEW CONSTRUCTION LEPLACEMENT ❑ALTERATIONS
FUSEE MAKE AND MODEL Lgn n o X I3 -cX N O D 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.
❑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 $49.50
Cost$ Buildin Permit# o
HEATING PERMIT FEE $ c ..2)
STATE SURCHARGE $ IMO
TOTAL PERMIT FEE $ 0
This Application Becomes Your Building Permit When Approved Paid 5(J✓ ceipt No.G .34_
DateQ By
Building Official Date ti t C W
24 hour notice for all inspections (952)4 7-9850
4646 Dakota Street S.E., Prior Lake,Minnesota 55372