HomeMy WebLinkAboutHEATING PERMIT 14-892 DATE TIME
CITY OF PRIOR LAKE SCHEDULED Z'b 11�
INSPECTION NOTICE
ADDRESS
( G f �'
OWNER CONTR.
PHONE NO.
PERMIT NO. 'L S cA.o•
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION0 FIREPLACE RI
❑ FRAMING 0 WATER HOOKUP 0FIREPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP ❑ FI PLA AIR TSL
FINAL 0 PLUMBING FINAL ❑
0 SITE INSPECTION 0 MECH FINAL
COMMENTS: '�`—
j4 VORK SATISFACTORY,PROCEED
�❑ CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
657' Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
. 1 Riot CITY OF PRIOR LAKE Date Rec'd
.4° HEATING/AIR CONDITIONING/FIREPLACE PERMIT 8 I C
u cid / c
NNEBoilP 1.Pint File PERMIT NO.
3.Y App ' sqz,3.Yellow Applicant6
(Please type or print and sign at bottom)
ADDRESS
�--.• ZONING(office use)
1 Cr131 # ' y 1 ' my r-- 0-1\145s
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) ck( ri 420rA c` -e Al (Phone) &IA 6.3 c -i
(Address)
APPLIC _ �l?
(Name) ( O/A) (f t ON E2 Au2, t � (Phone) V� (]� ( S'
'- J
(Address). 1s,--, �S l/�S vv,,..d... _t
(Contact Person^ m C v l P •.-re--- (Phone)Q �33`�APPLICANT SIGNATU - . \ 1 9____._ _ _ �.,. DATE ([25s
4 1 '
APP 0 ICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION � - lav c LA/
❑REPLACEMENT ALTERATIONS lg.
FURNACE MAKE AND MODEL FUEL -1-//1-4S.
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
0 Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System 0 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) s� 64.50 Residential,AC Only $49.50
Cost J) Building Permit#
HEATING PERMIT FEE $ L/F,
4S''''.0
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
/
This A J I a 4 :ecomes Your Bui s g Permit hen proved Paid Receipt No.
4� ►- By
Date 1,4
B,ildi-g • `• 'al Date t °�" 7:511..A.-4.4.>
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372