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HomeMy WebLinkAboutHEATING PERMIT 16-834 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 0_10 a L� ADDRESS 5574 r�7� OWNER CONTR. ` a PHONE NO. PERMIT NO. 1 ^ 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNINGDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP ❑ FRA0 FIREPLACE RI 0 SEWER HOOKUP 0 FIREPLACE FINAL CI INSULATION ❑ SFINAL 0 MECH FINAL 0 PLUMBING FINALASLINE AIR TST ❑ SITE INSPECTION COMMENTS: )(WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK,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! uIINOT; i ,o. nips? CITY OF PRIOR LAKE Date Rec'd Ah,, HEATING/AIR CONDITIONING/FIREPLACE PERMIT Z.") .firNc�" NEs° 2. G1.Pinreen Cityk File PERMIT NO. Ae _ e/3 4 3. Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS SS"7 CO LbSi \A DY1z0tA cor-be_ SE LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER , q (Phone) l P�oZ`^1 y (Name) —0.-V-v"vl e_ G 0-f.-VAv1'1 (Address) SS-1(41. Los }I©vlzDt" C r& e_ SE , P i oY L&i2.f_ A4 1U ,CS37c APPLICANT (Phone) �5 1 i©-�oaa (Name) C4 t/ O /l A-f r (Address) 02/a I o l%Gt5t-Okl_ /4V ' r-44')144(City)f (Zip Code) (Address) (Contact Person) /4L° .t W-k ;0 vk (Phone) c a S i - 411-°°- APPLICANT SIGNATURE iced% �1� ��y 0'r�`� DATE 7-G71-'____/-?_ ____----_ APPLICANT PLEASE COMPLETE BELOW :NEW CONSTRUCTION ®REPLACEMENT : ALTERATIONS FUEL FURNACE MAKE AND MODEL ( OUTPUT 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. O Mechanical 0 Radiation Fireplaces with Box Additions or Air Conditioning -fir >°- X,fZl 3 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent.System :Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE $49.50 Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,AC Only $49.50 Residential,Heating Only(New Construction) $64.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ y G .S0 STATE SURCHARGE $ 1.00 TOTAL PERMIT FEE $ 50 .S0 (Office Use Only) (, „�� Receipt No. -3 6 9 This Application Becomes Your Building Permit When Approved Paid Date i, . lJ By Buildine Official Date , 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372