HomeMy WebLinkAboutHEATING PERMIT 16-918 DATE TIME
CITY OF PRIOR LAKE SCHEDULED �\���,
INSPECTION NOTICE
ADDRESS (') 3 l -k
OWNER CONTR. Q
PHONE NO. PERMIT NO. - S l V
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL L],GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
.+A-L
ORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
(i..--pRfjj , CITY OF PRIOR LAKE Date Rec'd
e HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Z
INIVESOSA i.Pink 2. Green City PERMIT NO. /67 ci fel
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I73lit tee re1d Dr 5 5,5s--)p.
LEC AL DESCRIPTION(office use only)
LOT ' BLOCK ADDITION PID
OWNER ..
95 -d11- 1039
(Name) Ja AA-0,SC1 (Phone)n
(Address) — S"1 fV�
APPLICANT Appliance Gorinections Inc.
(Name). . 12850 Chestnut Blvd. (Phone)
Shakopee, MN 55379
(Address) ` 95445-4803 (Zip Code)
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(Address)'
Address ( )
(Contact Person) Apel - �hone)
APPLICANT SIGNATURE 1 DATE Fd4- ''Ci 0
APPLICANT PLEASE.COMPLETE BELOW
❑NEW CONSTRUCTION XREPLACEMENT ❑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 0 Steam Units and Fireplaces Cannot Encroach
['Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
Vent.System 0 Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEESCHEDULE
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 $49.50
Estimated Cost$ /&&` c° Building Permit #
HEATING PERMIT FEE $ 9 50
- STATE SURCHARGE $
TOTAL PERMIT FEE $ .5O 90
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid �'-)) Receipt No.0 5C/C/
Date . 1 - B
Building Official- - Date
_ •24 hour notice for all inspections(952)447-9850,fax(952)447-4245
• 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372