HomeMy WebLinkAboutHEATING PERMIT 16-990 DATE r TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE / [[„SCHEDULED (j c J 3(J �P
ADDRESS 41 J2. 1.09:earu '
OWNER CONTR.
PHONE NO. PERMIT NO. /6 - qq0
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE
R PLAAIR FINALT
❑ INAL 0 PLUMBING FINAL G
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
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WORK SATISFACTORY,PROCEED
❑ COR- • I•N AND PROCEED
❑ COR' / O'K,CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CALL 447-9: • FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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1 PRIp
CITY OF PRIOR LAKE Date Rec'd
.4° e,y, HEATING/AIR CONDITIONING/FIREPLACE PERMIT g3O. '
u
1 Pink File PERMIT NO. .4co I
`�MNeso`�A 2.Green City /6
3.Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS n Z S�
4102 U3acalet 16r1 C: rvE
LEGAL DESCRIPTION(office use only) - f /�( / / ���
LOT p�BLOCK/ ADDITION
G/ /�� PID 25—/k(O
OWNER ',nn
(Name) .Y��b CYn C�C-e eA4 . (Phone) CI 52'41410 -- 12_04
(Address) Us A •Z
(Name)APPLICANTc IcwW-Q-IA t(' f tV.,v-.L 5 ns( . (Phone) LoS7 -6o P 4 -66 ego,
(Address) 3g9 2 �2 fi► nr`t
/(...,"all 0'—, , 5-5-7 2-
(Contact Person) (--` to
(Phone) S I '' 2 Z --V7-1 '
APPLICANT SIGNATURE • _ - _ DATE 8./241(e,
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT [ ALTERATEIONS
FURNACE MAKE AND MODEL FUOUTPUT
L
FLUE SIZE RETURN OPENINGS INPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm 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
❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
❑Vent. System 0 Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL C9botz I Li Y
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) $64.50 Residential,AC Only
Cost$ Buildin Permit#
HEATING PERMIT FEE $ O `3 b
STATE SURCHARGE
TOTAL PERMIT FEE $ 2 SO
This Application Becomes Your Building Permit When Approved Paid 670, SV Receipt .7,7/2 _
//
Building Official Date Date O a' .XJ 30 ! 10 By 3
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372