HomeMy WebLinkAboutHEATING PERMIT 13-1318 DATE //�� TIME
CITY OF PRIOR LAKE SCHEDULED `e
INSPECTION NOTICE
ADDRESS If.� ;L
CONTR.
OWNER
PHONE NO.
PERMIT NO. _11---12-1--
❑ PLUMBING RI ❑ EXIGRADIFILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION0 FIREPLACE RI
❑ FRAMING ❑ WATER HOOKUPFINAL
CE
A L
0 SEWER HOOKUP ❑ EP0 FIREPAIR T
❑ INSULATION 0 PLUMBING FINAL
❑ FINAL
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
C ,
i
al
❑ WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
CORRECT WO CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURSHFETY1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
INSHOTI
CITY OF PRIOR LAKE Date Recd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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4*lvtvEso° 1Pt. Pc:tey I PERMIT N013_/3/ii
).Ytllow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(dace use)
c-6Sq- /0,s1 //o/i o,A Cck -Cr
,...) _... ,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ,
(Name) -1-1-7-)01AP U i
/0d4 ;Ck (Phone) 47/d7- 420.2 6- 07(??0
(Addre --- ,42. -/- A ilt.0( (.'lie le, St
'A. )-- PAW KAI
APPLICANT K z /k 1' ' "
, __ ,vs i
(Name) l'Oa ' 7 C..9 4 ti ---*1-77 c (Phone) ___________
TA 4,4
(Address) 7W/ -Pr A, I c--5-1 / 3-
4Cyr s
(Address) , -.; •
. (City) L-- (Zip Code)
(Contact Person) (Phone)
_ 952 - VOf
I
'
APPLICANT SIGNATURE IMISIWA — DATE /k"-- 2S- /3
I a
AP'LI ' , i T PLEASE COMPLETE BELOW
...
ANEW CONSTRUETIO 4 -[ 1::6PLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL /-e.1 n 0›c- _S-Z_P4_//07 0 FUEL FLUE SIZE SIZE RETURN OPENINGS INPUT .-. 1 000 OUTPUT($ ,...2.0
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
' 21A/arm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
0Gravity 0 Hot Water into Required Side Yard Setbacks.
0 Mechanical 0 Radiation
Fireplaces with Box Additions or
ir Conditioning 0 Special Devices
NI Vent.System 0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%ofjob cost Residential,(ins 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 $49.50
</sQ-94Voll
Estimated Cost$ 0 0,17e- Building Permit #
The Minnesota Statutes§32611.145
HEATING PERMIT FEE $ 4'9-50 "st:RC!IARGE"has been changed 14 one
year ef lertire
STATE SURCHARGE $ .fr-V. Jul) I,2010.until Jtine 30,2011.
TOTAL PERMIT FEE $ 1-*0 1 he minimum surcharge for a"lewd Err"permit
(Office Use Only) Is`4c,beginning July 1.2010
This Application Becomes Your Building Permit When Approved Paid —
-74,5 0—‘ Receipt No.
Building OfficialDate BY
Date /11243
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372