HomeMy WebLinkAboutHEATING PERMIT 16-0930 DATE TIME
CITY PRIOR LASCHEDULED9441 6O
INSPECTIONOF NOTICEKE
ADDRESS 4 - d —c t.
OWNER CONTR. /,,
PHONE NO.
PERMIT NO. /4 930
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOOTING 0
❑ FOUNDATIONMECH RI 0 COMPLAINT
0 FIREPLACE RI
❑ FRAMING 0 WATER HOOKUP ❑ FIREPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP
S
0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION
❑ FINAL 0 MECH FINAL 0
-$1111777
COMMENTS: !. 0 ate. I:%%••='-'-
101111111111
-
WORK SATISFACTORY,PROCEED
❑ CORRECT CTION AND PROCEED
O CORRE O' CALL FOR REINSPECTION BEFORE COVERING
Li;
Inspector:
. Owner/Contra
CALL F50 F•R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
o� PRI° CITY OF PRIOR LAKE
Date Recd
4 HEATING/AIR CONDITIONING/FIREPLACE PERMIT
U r
1NNEso��,„__.,....„,„
t.Pink File PERMIT NO.
2.Green City /p 936/�
(Please type or print and sign at bottom) 3.Yellow Applicant `(G� j �/
I
ADDRESS
33291 Fox Ta\1 lira; ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) 1"R\om,rd "Dan (Phone) X52.- 14-W5-75a
(Address) 32,..91 Fox, To;k\ T yai
APPLICANT
(Name) Ron' s Mechanical (Phone) 952-445-8585
(Address) 2026 ('oi burn llri vF.
Shakn_pPPP, MN 55379
(Contact Person) L 'nda
(Phone)
APPLICANT SIGNATURE ( /VUA.G47 DATE g- . 1
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS
MAKE AND MODEL 7)0;k i h C3s4o#9 3'12 `} )v1 FUEL
FLUE SIZE RETURN OPENINGS INPUT
OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
El Warm Air Plants PLEASE NOTE:Air Conditioner
❑Steam Units and Fireplaces Cannot Encroach
❑Gravity D Hot Water
into Required Side Yard Setbacks.
CI Mechanical
El Radiation Fireplaces with Box Additions or
NiAir Conditioning ❑Special Devices
❑Vent. System ❑ Cantilevers to the Outside of Buildings
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
Residential, Heating&A/C $49.50 minimum
Residential, HeatinOnly(New Construction)Construction) $149.50 Residential,Additions &Alterations $49.50
$64.50 Residential,AC Only $49.50
Cost$ BuildinggPermit#
HEATING PERMIT FEE $ 49.9 t
STATE SURCHARGE $ � oO
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid ,,Z1 Receipt No. k or
Building Official Date Date By
24 hour notice for all inspections (952)447-9850
4646 Dakota Street S.E., Prior Lake,Minnesota 55372