HomeMy WebLinkAboutHEATING PERMIT 16-0931 DATE
TIME
CITY OF PRIOR LAKE
SCHEDULED 6
INSPECTION NOTICE 411_13- ,_
n ,
ADDRESS
OWNER CONTR. _
NO. PERMIT NO.
PHONE --
0 FOOTING 0 PLUMBING RI
p E
XIGRADI
FILLI
NG
❑ FOUNDATION 0 MECH RI ❑ COMPLAINT
p FRAMING ❑ WATER HOOKUP 00FIREPLACE RI
p INSULATION 0 SEWER HOOKUP FIREPLACE FINAL
p FINAL
0 PLUMBING FINAL X—GREPINE AIR ST
p SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
ItiOgill
VE-WORK SATISFACTORY,PROCEED
CEED
I/ COVERING
0 CORRECT ACTION AND PRO
ORK,CALL FOR REINSPECTION BEFORE
0 CORREC Mrowner/Contr.Inspe� ',
E.
CAA LL -985
0 FOR THE NEXT INSPECTION 24 HOURS IN AD�FETY!
CODE REQUIREMENTS AAREFOR YOUR PERSONAL HEALTH&
,MSNOTI
0. PR Ips
CITY OF PRIOR LAKE Date Rec'd
„,. N ) HEATING/AIR CONDITIONING/FIREPLACE PERMIT 9 /7 /�j
S'rrkNESO
2.
1. PYainkrm CitFiley /c /}�1-
PERMIT NO. �
3. Yellow Applicant tY
tease type or print and sign at bottom)
ADDRESS ,� ZONING(office use)
/ I/ Z— �3 //'1 17— C'/i,-
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address) H G(91 S uW I w't;4 C 1 c L`2. ki V J
APPLICANT 7 c�
(Name) F-1)-r.rv> �
i' • ' \ q ' 1-143 (Phone) (,5 I` Lt f93U '"
-
(Address) 15 9 -5-i-reG.r0,;, 55 0)41"
(Address) (City) (Zip Code)
(Contact Person) &A d ./ —71-, - (Phone) Col p2 435— 78 6 5
APPLICANT SIGNATURE An' _'1 Olf, , DATEi'I
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
['Gravity ❑Hot Water into Required Side Yard Setbacks.
,ffMechanical ❑Radiation
['Air Conditioning El Special Devices Fireplaces with Box Additions or
❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings
�/j n(� 1 __ LL Require a Building Permit.
. . —- . .. a;-Li1dPtn OS 1tr1,G 4t k (Gm3
V
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 $ 99, CO
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ rj 0, SO
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No. cy
Date r, /7,/6 Byfale-----.
Building Official Date O
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372