HomeMy WebLinkAboutHEATING PERMIT 16-0831 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I k t$(I10
ADDRESS set 2 8.-I
OWNER CONTR.
PHONE NO. PERMIT NO. & 53 7
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL VASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS:1 WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
oI pRro4) CITY OF ONIINGLAKE Date Recd
FIREPLACE PERMIT
�
41 ‘
HEATING/AIR CONDITIONING/FIREPLACE
rNN E so's7
's7 ,.Pink n file PERMIT NO. /, . 63 i
. Gree
3. Yellow Applicant
ZONING(office use)
Please t e or rint and Si at bottom
ADDRESS (-1 jiLeui
4/agI
LEGAL DESCRIPTION(office use only) PID
LOT BLOCK ADDITION
OWNER 0 L I I"----(2"L' (Phone)
(Name) � _�///_�/L — �� � - ��O '" i
(Address) 1 0
APPLICANT RICCAR HEATING&MR
(Phone)
(Name) i i ,•,cl
ANDOVER,MN 55304 (City) (Zip Code)
!!i
(Address) ` Address
�, - 71103MOr
0 /. / 1.,_t _ . (Phone) 1 ��
(Contact Person) _ `�
r_ `�_„� DATEAPPLICANT SIGNATURE
APPLICANT PLEA'E COMPLETE BELOW
W TERATIONS
ONEW CONSTRUCTION FUEL
FURNACE MAKE AND MODEL INPUT OUTPUT
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
Warm Air Plants 0 Hot Water into Required Side Yard Setbacks.
Gravity 0 Radiation Fireplaces with Box Additions or.
❑M chanical n eg /2 4/R 0 Special Devices Cantilevers to the Outside of Buildings
it Conditioning K ! L 0 Other Devices Require a Building Permit.
Vent.System �,/�
FIREPLACE MAKE AND MODEL
FEE SCHEDULE $49.50
1%of job cost Residential,Gas Fireplace
Industrial,Commercial&Multi Family $49.50 minimum $49 50
$149.50 Residential,Additions&Alterations $49.50
Residential,Heating&A/C(New Construction) Residential,AC Only
Residential,Heating Only(New Construction) $64.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ mi
[ o.S G
STATE SURCHARGE $
1.00
TOTAL PERMIT FEE $
(Office Use Only) Paid Receipt No.
Application Becomes Your Building Permit When Approved
,
This Date i By
Date40
Buildins Off►cial 447-9850
24 hour notice for all inspections(952)
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372