HomeMy WebLinkAboutHeating Permit 11-0104 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED g(24/6(
ADDRESS qii- i 0 f �
OWNER CONTR.
PHONE NO. PERMIT NO. /
❑ 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 INSPECTIONECH FINAL ❑
COMMENTS: ✓ ✓ ✓ ✓ ✓✓
r
7 WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC , 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
pRlp CITY OF PRIOR LAKE Date Rec'd
' HEATING /AIR CONDITIONING /FIREPLACE PERMIT
Et L C
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'trrNNES��P . Pink P PERMIT NO . /�
3 . Ye Ci / O I O
3. Yellow Applicant I `
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
L\\`; Ir∎ 1. lie, &C
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
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(Name) ski P�tdC TAA 41 (Phone)
(Address)
APPLICANT
(Name) A(.A r
II L (Phone) gal 1 ` -1 0 (Address) f 1 w i . .' ° { & -Jn
(Address) (City) (Zip Code)
(Contact Person) ■ I . 1 i /1 (Phone) 310°t ' O
APPLICANT SIGNATURE :.:mot. ii % ij # . a, , tilk DATE a -tu - '
APPLICANT PLEASE COMPLETE BELOW
❑NEW CO TRUCTION m ❑ REPLACEMENT t] ALTERATI NS
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FURNACE MAKE AND MODEL Kf Un11' P \ 4 Ur 4 f - -
FLUE SIZE RETUR OPENINGS INPUT OUTPU
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
EGravity ❑ 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
Estimated Cost $ (I DO: Building Permit #
HEATING PERMIT FEE $ t i t i .5
STATE SURCHARGE $ „lam 3@
TOTAL PERMIT FEE $ 5 L .3r)
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 5 -4 .. so Recei o. 6 Z 0 ZT
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D a t t Building Official Date / // B
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372