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HomeMy WebLinkAboutHEATING PERMIT 16-771 DATE TIME CITY OF PRIOR LAKE SCHEDULED CJ� ____ INSPECTION NOTICE ADDRESS % r • V�1 ez, OWNER CONTR. , PERMIT NO. �_ /s� 1 , PHONE NO. ❑ PLUMBING RI ❑ EXIGRADIFILLING ❑ FOOTING 0 MECH RI 0 COMPLAINT ❑ FRAMING 0WATER HOOKUP ❑ FOUNDATION0 FIREPLACE RI ❑ FIREPLACE FINAL ❑ INSULATION 0 SEWER HOOKUP 0 IREPLA AIR TSL �-FINAL 0 PLUMBING FINAL 0 ❑ SITE INSPECTION 0 MECH FINAL COMMENTS: r" •! ' Alb yf WORK SATISFACTORY,PROC i ED 0 CORRECT ACTION AND PROCEED 0 CORRE ORK,CALL FOR REINSPECTION BEFORE COVERING Owner/Contra Inspecto: CA FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI rZ ?,, PR/0 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT U rx 1.Pink File `.4NNEs011' 2.Green City PERMIT NO.// -7 / 3.Yellow Applicant (O�' (Please type or print and sign at bottom) ADDRESS ZONING(office use) 2.01 41 I Yil Gtfat LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER '' ` (Name) Nancy U ,on - (Phone) 962' 5A'(p1`'1i (Address) I �i 201 t- ,n IN j CI rete APPLICANT (Name) Ron' s Mechanical (Phone) 952-445-8585 (Address) 2026 Colburn Drive inkShakopee,MN 55379 (Contact Person) Linda (Phone) APPLICANT SIGNATURE DATE lie (i . APPLICANT PLEASE COMPLETE BELOW ❑NEW 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 ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑ echanical 0 Radiation Fireplaces with Box Additions or L Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildingss❑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 Rosidentialkeating Only(New Construction) $64.50 Residential,AC Only $49.50 Cost$ Building Permit# ., HEATING PERMIT FEE $ 4 -t • 411111 STATE SURCHARGE $ .;;_Lo'. TOTAL PERMIT FEE $ r''%�j This Application Be es Your Building Permit When Approved Paid 50 50 Receipt No.64.-7a Building Official Date Date new�r/G By \, 24 hour notice for all inspections(952)447-9850 46 Dakota Street S.E.,Prior Lake,Minnesota 55372