HomeMy WebLinkAboutHEATING PERMIT 16-916 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 8/1.311-y
ADDRESS / l l C?'S ,'�c i A S0.-*. ctsr
OWNER CONTR.
PHONE NO. PERMIT NO. l — 91Ca
❑ FOOTING 0 PLUMBING RI 0 EX! r G
❑ FOUNDATION 0 MECH RI ■ •MPLAINT
❑ FRAMING 0 WATER HOOKUP ■- FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP ,.,14 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL dg-GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
/. .4-<<rc,
2. C k C C
Q � 0 5-e-
1-21-/C1
❑ WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORREC' •RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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�4 ?RioCITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
$
..*SY 13 07
'.PGen PC1it PERMIT NO. / 6'
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
(7/61/ 5(41/15-e4- 77:4(1 1 s w
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER(Name) S(. `e �O turn)S OYt (Phone) /5 2' 3g3 - 5 -70
(Address) , s,-L &5 5/f'e_
APPLICANT . II 1 /I'/ f 4 �1
(Name) i V'r 51.Le4 r-t Howc.e._ (Phone) 63'7—_033--ZS-(v
(Address) ZZO b F`ii v`v i e 4u-e- N i2ose V i lit_ 55113
(Address) _ (City) (Zip Code)
(Contact Person) _ PAY L--'``- 7 (Phone) 651-6,35— 33O q
APPLICANT SIGNATURE II Of( DATE
APPLICANT PLEASE COMPLETE BE I
KNEW CONSTRUCTION 0 REPLACEMENT P
\ LTERATIONS
FURNACE MAKE AND MODEL FUEL 6
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
vrty 0 Hot Water into Required Side Yard Setbacks.
Mechanical ❑Radiation Fireplaces with Box Additions or
Cl v Conditioning El Special Devices Cantilevers to the Outside of Buildings
OVent.System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL thh- S L-
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 $49.50
Estimated Cost$ Building Permit #
0
HEATING PERMIT FEE $ LfT-
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ S®. s-0
(Office Use Only) _
This Application Becomes Your Building Permit When Approved Paid y 0) Receipt No.G,5----qDate S 17� . i if By
BuNdine Official Date -
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372