HomeMy WebLinkAboutHEATING PERMIT 16-0898 c� DATE TINE
CITY OF PRIOR LAKE SCHEDULED p 2
INSPECTION NOTICE (10ADDRESS /� (
OWNER CONTR. G
PHONE NO. PERMIT NO. l L S�1
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION0 FIREPLACE RI
❑ FRAMING 0 WATER HOOKUPCE FINAL
P
R
FIELA
p INSULATION 0 SEWER HOOKUP 0 FIREPLACE
AIR TSL
❑ FINAL 0 PLUMBING FINAL 00
❑ SITE INSPECTION 0 MECH FINAL
0,-........-t-
COMMENTS: /,:.
/111
WORK SATISFACTORY,PROCEED
.X_
❑ CORRECT ACTION AND PROCEED
❑ CORRECT •AK,CALL FOR REINSPECTION BEFORE COVERING
iiinfilk Owner/Contra
Inspector:
CALL•tirtilir OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
_.111_,%?,
CITY OF PRIOR LAKE Date Rec'd
�
/ `\) HEATING/AIR CONDITIONING/FIREPLACE PERMIT
�j'VNSSO
Pinreken City F"e PERMIT NO. /6, Y s9e
G
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
a1O 0 -Fox R,u v, N W
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Na
OWNER
R Oat N 3(Aki tri (Phone) 9 52 - 1 q`f-✓b I 7I
(Address) 2-1, 00 I-U X Ruc i i Pr i o v Lake 5 5-37 2
APPLICANT �r � A �r._,� n 'f
(Name)Net-mill hX. 1. *Ail v bit. (Phone) 152 'l -355 2--
�3! -(1 20
(Address) 1040 � "l. Z. Si-,Tori �`J
(Address) (City) J (Zip Code)
(Contact Person) 3th,bt, (Phone)
APPLICANT SIGNATURE 'h DATE Z
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION
CQ,�S�T"RUCTION REPLACEMENT ❑ALTERATIONS f
FURNACE MAKE AND MODEL r I �' Sa1M� 701l/G1
A 12O V 211-22- FUEL 1, .. .t 3,5
FLUE SIZE RETURN OPENINGS INPUT 12-0, 000 OUTPUT I I10, 40
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
['Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical D Radiation
❑Air Conditioning ❑Special Devices Fireplaces with Box Additions or
❑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%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 $ '}Ci .51)
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 5 0.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Recei t
Date �,, By
Building Official Date 0 ✓ L
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372