HomeMy WebLinkAboutHEATING PERMIT 16-914 DATE TIME
CITY OF PRIOR LAKE
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INSPECTION NOTICE SCHEDULED8)25)1f'
ADDRESS i(9O(
OWNER CONTR. (�
PHONE NO. PERMIT NO. /6 `t -
❑ 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 FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: 40,04..)--.-A-- -6�
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XWORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT •
o-K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1110 Owner/Contr:
• T
CAL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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1.. Pinreken FiCtity PERMIT NO. /6, _ q,¢•
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/coO20 gar Creep Ave 55
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER dO ) Rrcil (Phone) 452 2212 3059
(Name) C Phone
(Address) I (0020 &vie Creed Ave, 5&
APPLICANT `f
(Name) (1rn cbert01,5 1-WAc. LLC. (Phone) 9 52 221 4333
(Address) I3t 1Q fVeresl-(Address)
av ) AeAPP.` al eT(City) 55 I Z4Zip ode)
(Contact Person) Unterfp RV'- (Phone) Q5a aa1 433:3
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APPLICANT SIGNATURE DATE 4-9-/49
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ,REPLACEMENT ❑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
OGravity 0 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 ❑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) $64.50 Residential,AC Only $49.50
Estimated Cost$ $i2,1 SO Building Permit #
HEATING PERMIT FEE $ I(Q• 50
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 50.5
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid �� ,V Receipt No. 6 6-q5-
Date
GigDate I ( /_ BY
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372