HomeMy WebLinkAboutHEATIN GPERMIT 16-769 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �)3 11
ADDRESS (43 13 )fkov-,c _
OWNER CONTR.
PHONE NO. PERMIT NO. ,6. ?.
❑ FOOTING 0 PLUMBING RI
❑ EX/GRAD/FILLING
FILLING
❑ FOUNDATION 0 MECH RI ❑ CMPLAINT
❑ FRAMING
0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP
❑ FINAL 0 PLUMBING FINAL FIREPLACE FINAL
❑ SITE INSPECTION 0 MECH FINAL
GASLINE AIR TST
❑
COMMENTS:
I,Y WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT W RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
.7.---,----- — .
of PRI() CITY OF PRIOR LAKE Date Rec'd
b c, HEATING/AIR CONDITIONING/FIREPLACE PERMIT -7, /Z./6)
U ten
1.Pins{ File PERMIT NO. /-
4o�P `tom
NNES2.Green City . 7(05'
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/`/313 Skid re Crest Drive, /!/G✓, Prior LAIce Nd
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER L/4�7- nos(Name)
OWNER ,, W. OrAuff (Phone)
(Address) /9:3/3 Share Cresr Drive- /VW/ Prior 444c /yd
APPLICANT
(Name) Ny/e't/ /c/. 31-'0./4/ (Phone) q5.2-1/0-5-30s
(Address) /4/3/3 Still r . C,&eS% Ar irrc /UW, 44r [Ake /`w
(Contact Person) /I/y/eAi (,t'. f?rAu4) (Phone) g5.2-V '7-43a
APPLICANT SIGNATURE W (6.4403 ... DATE 7-4744/4
APPLICANT PLEASE COMPLETE BELOW
®NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL Modr e Al E 50-4C di I1 FUEL N$? 1 4L Gyf s
FLUE SIZE 4Y A RETURN OPENINGS INPUT OUTPUT t
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
arm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
■Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
El Air Conditioning 0 Special Devices 1/, Cantilevers Cantilevers to the Outside of Buildings
❑Vent. System 0 Other Devices 4�A e �l` -T" ✓ Require a Building Permit.
FIREPLACE MAKE AND MODEL 4
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 $ 44'
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ _52.7 .607_.)
This Application Becomes Your Building Permit When Approved Paid 5?2„ Receipt No6/1310,
(' ,004-- -- •
Building Official Date Date -7 Z, i • By
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372