HomeMy WebLinkAboutHEATING PERMIT 16-0915 DATE TIME
CITY OF PRIOR LAKE
SCHEDULED i, ... -
INSPECTION NOTICE
ADDRESS $ _ i- • '
Ellik....:___-_..
CONTR.
PHONE NO. PERMIT NO. — AP
El PLUMBING RI 0 EXIGRADIFILLING
❑
FOOTINGGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FRA0 FIREPLACE RI
❑ INSULATION
0 SEWER HOOKUP 0 FIREPLACE FINAL❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST❑
❑ SITE INSPECTION 0 MECH FINAL
C •
COMMENTS: - ` II
M
' �_!
WORK SATISFACTOR PROCEED
❑ CORRECT ACTION AND PROCEED
❑ COR' C' )RK,CALL FOR REINSPECTION BEFORE COVERING
Inspe or:
OwnerlContr:
CALL 49850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
of PRIG
iN'� CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
.,:,.kA,E SOS
2. G
1. Fink Filety PERMIT NO. / T `/s-
recn Ci
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
X3-1e - vein a,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNE }��,�
(Name) 't `I,c� ` 6 a . G�P.((..SCX (Phone) QSZ 2Z(0-4{p b5
(Address)3b 3"1 CL1�P -\(-VeY-) C*.
.
APPLIC ,,^J
(Name)�1(p_n k,,,, 1G� -Is`r (Phone) C152.-4�? 1-5g I
(Address) \41 t= r. l, a)-ore. \a, e___Uat `�I24-
(Address) (City) (Zip Code)
(Contact Person) 44nn.Q, 01(142. Q1L(,_- (Phone) QS2-43\-5S I 1
APPLICANT SIGNATURE i A:1)641/..0A-Q, DATE _ g`.1D_IlLp
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION Al REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL 0 VV.,Q.., �'IM N—f+6\OOO FUEL Is.--I .CSS
FLUE SIZE RETURN OPENINGS INPUT SO pa.)BN OUTPUT 71 l(00C
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants PLEASE NOTE: Air Conditioner
❑Gravi ❑Steam Units and Fireplaces Cannot Encroach
n ❑Hot Water
®'Mechanical 0 Radiation into Required Side Yard Setbacks.
❑Air Conditioning ❑Special Devices Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
❑Vent.System 0 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
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ kl9 49,SO
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ SDC).50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 5-0 0 Re ipt No. (J 7
Dated B J
Building Official Date !, `( 7,( (. .
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372