HomeMy WebLinkAboutHEATING PERMIT 16-525 ATE TIME
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE ---r-'
ADDRESS
CONTR. �.—
OWNER
PERMIT NO. — 2<
❑ EXIGRpp�FiLLING
0 FOOTINGOE PLUMBING RI 0 COMPLAINT
HOOKUP 0 FIREPLACE RI
❑ 0 MECH RI ❑ FIREPLACE FINAL
❑ FOUNDATION p❑WATER HOOKUP 0 FIREPL) E ST
❑ FRAMING
❑ INSULATION PLUMBING FINAL 0
❑ SITE
I CH FINAL
❑ INSPECTION ( �
COMMENTS: �`
1111
116=1.3
PROCE,�
WORK SATISFACTORY,AND PROCEED
�❑ CORREC
Er- ,CALL FOR REINSPECTION BEFORE COVERING
❑ CORRpwnerlContr:InspectorL
ADVANCE.
V• •R THE NEXT INSPECTION 24 HOURS IN
7 9850 F H�Ty&SAFBT�'t
CALL 44
CODE REQUIREMENTS ARE FOR YOUR PERSONAL
INSNOTI
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of P�o� CITY OF PRIOR LAKE Date Recd
A„ C HEATING/AIR CONDITIONING/FIREPLACE PERMIT z v. /G
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1.Pink File ------------
itePERMIT NO. iL -cozs
2.Green City
�IMvEsott 3.Yellow Applicant
(Please type or print and sign at bottom)ADDRESS ZONING(office use)
�
14/77/ Iii.k 6i WI/ /j '. 11/t f
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER ,` Mbfrit5 ... °r �„� (Phone) L l�' ^ Vi_ / GiJame /����✓ � IG � �O(N ) dotii ,
.. L) 3 JT2(Address) f'/71/ / [ M Z« i /C / J wP., Lk
APPLIC,/ I ' (Phone) 75T �‘
.tr C �
(Name) % �.1 �'a, � G —�
,� ,, Al 4
(Address _- �••.•- � -`'
� / (Phone) af
(Contact Person) O�
if- �
APPLICANT SIGNATURE , �'
DATE
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APPLICANT PLEASE COMPLETE BELOW
:NEW CONSTRUCTION ❑ PLACEMENT ERATIONS � �—
H&*JJEL
FURNACE MAKE AND MODEL�e4Go N o���J �`�+,�G a�l�~ T
FLUE SIZE VO
RETURN OPENINGS INPUT 7 bC0 OUTPU
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
D G a ravi ty Air Plants ❑Hot Water into Required Side Yard Setbacks.
❑G
0 Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special DevicesCantilevers to the Outside of Buildings
El `
Vent. System Other Device &id �'WJ' Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE Job cost Residential,Gas Fireplace $49.50
1%of'
Industrial,Commercial&Multi Family
$49.50 minimum
Residential,Additions&Alterations $49.50
Residential,Heating&A/C (New Construction) $149.50 Residential,AC Only $49.50
Residential,Heating Only(New Construction) $64.50 Building Permit#
Cost$ O
HEATING PERMHARGEIT FEE $$--:— /
&�6 - 6CC)S $ .
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid K"h
c Receipt No.
Date , J By
< t
Building Official Date —my
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372