HomeMy WebLinkAboutHEATING PERMIT 16-1049 DATE TIME
CITY PRIOR LAKE SCHEDULED
INSPECTION NOTICE ----
ADDRESS 1G AL, D • •
OWNERCONTR. /
PHONE NO. PERMIT NO. 1±±1 (d �L
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FOA0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST❑
r
❑ SITE INSPECTION ,,rr'� 0 MECH FINAL
COMMENTS: L ' d—AC.-
0 `- mal •
i
11
J�
WORK SATISFACTORY,PROCEED
ID CORR- •CTION AND PROCEED
❑ COR" • ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspect' S Owner/Contra
•CALL • -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
o rRrole CITY OF PRIOR LAKE Date Rec'd
ilk HEATING/AIR CONDITIONING/FIREPLACE PERMIT % /qc i 6
E.:.1-y- -,..4,,ow Nr.,
i.pink File PERMIT NO. /J l/�s
INNESo� 2.Green City Al; I L"
3.Yellow Applicant [[['-K L
(Please type or print and sign at bottom)
ADDRESSZONING (office use)
1 ) 9R6 �e & QUr ci40 gi,C.
LEGAL DES PTION ce use only)
LOT BLOCK A DITI PID 25 /3 -,03 6-d
OWNERt��� �
(Name) LU °- ,-Sc-\N r-o (Phone) (M��- "T� 7
(Address) .51/9/77 .
APPLICA �� 9,0-41i(7—
(Name) T✓�`I,l-i'- ,Ac _A_,t7ic. (Pho)ne)yy01D
(Address) 6 cine' ??-JLL l c, 31- -1-)K.' e'" f'�Q7 Li-1 ._ 70/1,-/S5.3*
(Contact Person) ,1 rc n,__Q - (Phone) 9;—_. 44"7—t liO
APPLICANT SIGNATURE . „1.7 ''i.41/ DATE -14/�o
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 ❑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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ . .
STATE SURCHARGE $ .00
TOTAL PERMIT FEE $ J ,re)
This Application Becomes Your Building Permit When Approved Paid .--z2`,..0 Receipt 1tg;g:
Building Official Date Date /4(.(6'
,(6' By 5-2, ---
24 hour notice for all inspections (952) 447-9850'/
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372