HomeMy WebLinkAboutHEATING PERMIT 16-0829 CITY
INSPECTION OF PRIOR LAKE ATEI TIME
NOTICE SCHEDULED �----
A
C.ADDRESS 3 . Ts*
OWNER CONTR. /
PHONE NO.
PERMIT NO. `
0 PLUMBING RI ❑ EXIGRADIFILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FRAMING ❑ WATER HOOKUP
❑ FOUNDATION0 FIREPLACE RI
RELAFINAL
CE
P
❑ INSULATION 0 SEWER HOOKUP 0 0 FIREPLACE
GPLA AIR AL
p FINAL 0 PLUMBING FINAL 0
❑ SITE INSPECTION
0 MECH FINAL
COMMENTS: C. f�ur^-G'I'N k �J_ J -A
r
WORK SATISFACTORY,PROCEED
/❑ CORRlir•CTION AND PROCEED
i/ Owner/Contra
Inspect
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
est PR/04,
,� CITY OF PRIOR LAKE Date Rec'd
u( \\\ HEATING/AIR CONDITIONING/FIREPLACE PERMIT
r�'NE So,C,
I. Fink File I PERMIT NO. I
z. Green City /// (�
(Please type or print and sign at bottom) 3. Yellow Applicant / (� �J 2-�
ADDRESS
3324 Glynwater Trail ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) Ouentin Bushon
(Phone) 512-964-0230
(Address) 3324 Clynwater Trail
I APPLICANT
(Name) Annle-Lake Heating & Air Conditioning, Inc(Phone) 952-431-4328
(Address) 207 150th Street W. AppleValley TINT 55124
(Address) (City)
(Zip Code)
(Contact Person) Beth J., ohoskv (Phone) 952-431-4328
APPLICANT SIGNATURE _ A
_ DATE 7/18/16
APPLICANT PLEASE .i MPLETE BELOW
DNEW CONSTRUCTION ® ' .LACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL Carrier 58STA090---1--14
FLUE SIZE 4" FUEL natural gas
RETURN OPENINGS INPUT 90,000 OUTPUT 72,000
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 Re
Mechanical
Air Conditionin ❑Radiation quired Side Yard Setbacks.
g 2.5 ton AC
Vent.System Carrier 0 Special Devices
❑Other Devices Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
FIREPLACE MAKE AND MODEL Require a Building Permit.
Industrial,Commercial&Multi-FamilFEE SCHEDULE --
Y 1%of job cost Residential,Gas Fireplace $49.50
minimum
Residential,Heating&A/C(New Construction) $149.50
Residential,Heating Only(New Construction) $64.50 Residential,ACCdOnly Residential,AOnly &Alterations $49.50_�
$49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ 49.50
STATE SURCHARGE $ 1.00
(Office Use Only) TOTAL PERMIT FEE $ 50.50
This Application Becomes Your Building Permit When Approved Paid
eh Receipt No. 6.3s-6
Building Official Date ` 1ld _By
Date 7. Z7
53..
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372