HomeMy WebLinkAboutHeating Permit 11-0177 7 AT TIME
CITY OF PRIOR LAKE 9 /
INSPECTION NOTICE SCHEDULED �/ `� (/
ADDRESS t G akla H oti741y1 ; I r-
OWNER CONTR.
PHONE NO. PERMIT NO. / /— (77
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION MECH FINAL ❑
COMMENTS:
-.� I i C► - �S , I : `��
f
❑ WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT • - J CALL FOR REINSPECTION BEFORE COVERING
Inspector: / Owner /Contr:
CALL /44 -. ; 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOrJ
IL
-� 1
( .11) RIO CITY OF PRIOR LAKE Date Rec'd
, . , HEATING /AIR CONDITIONING /FIREPLACE PERMIT
41INNESO 1. Pink File .
2. Green
lIo City PERMIT NO. / 77
3. Yellow Applicant ` i a /
(Please type or print and sign at bottom) S5372
(7 b H (ZOV) 7t 7d ), IOC (a /./� ZONING ( office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
( O Na WNER M f J 1' I io roe (Phone) L-1- C `J V
(Address)17 (l ZO I Tall 5E f?7orLae 9 72
APPLICANT
(Name) Rnns Mechanical Inc (Phone) 952 -445 -8585
(Address) 12010 Old Brick yard Road Shakopee MN 55379
(Address) (City) (Zip Code)
(Contact Person) Lind (Phone) 952-445-8585
r
APPLICANT SIGNATURE cm tdQt ` DATE - 2- 1 )
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION {� r - 'REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL Ru,U,D 1 �lgma9 FUEL 1.)1
FLUE SIZE RETURN OPENINGS INPUT CJ DOD OUTPUT 5
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.
❑ Mechanical ❑ Radiation
Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
['Vent. System ❑ 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
The Minnesota Statutes § 326B.148 Cost $ Building Permit #
"SURCHARGE" has been changed for one �
year effective HEATING PERMIT FEE $ ` f�` .`i
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ 5 50
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ 51.
is $5, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid A R t N (0Z 1 �-7
5 /
Date . ZS, I By
Building Official Date -
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372