HomeMy WebLinkAboutHeating Permit 12-0065 DATE TIME
CITY OF PRIOR LAKE l
INSPECTION NOTICE SCHEDULED 2/1
ADDRESS 3• { JP •1� ∎ . -el'5 0 i- •
OWNER CONTR. /
PHONE NO. PERMIT NO. Z — [ o�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ,G LINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
. C .(). e,_ - c - \.,
WORK SATISFACTORY, PROCEED
❑ CORRECT • •TION AND PROCEED
❑ CORRE' • r 1 , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CALL • 7 • $5 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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VRI0 CITY OF PRIOR LAKE Date Rec'd
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,, sr H EATINGIAIR CONDITIONING /FIREPLACE PERMIT ,..2....i.,.)_
V __ .'47,„yg
NvivEsoo I. P o F''` PERMIT NO. / i .., 2. Green Cirp �
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name V30.1 V't b l/1 I (Phone) Lei V t L P- 1 3?
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(Address) ' CC— .
APPLICANT a • - U „ /- -" 1 D 0
(Name) . LA/A (Phone) ' n '! � ,r� C
(Address) ) • OD ,
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(City) _ (Zip Code)
(Contact Person) � I_ et I �V �,, . J-\ (Phone) i ` fit , t0R•t 8
APPLICANT SIGNATURE ■ ' �
� �!��t 1111 ' ' 1,......... DATE
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APPLICANT PLEASE COMPLETE BE OW �� \J
(=NEW CONSTRUCTION El REPLACEMENT ALTERATION -'(�
FURNACE MAKE AND MODEL, FUEL
I�1UJ
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
Air Conditioning Fireplaces with Box Additions or
❑ g ❑Special Devices
s Cantilevers to the Outside of Buildings
❑Vent. System El Other Devices >
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi - Family I% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) S149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ 1 -( Building Permit #
The Minnesota Statutes * 32613.148
(�l Lv "SURCHARGE" has been changed for one
HEATING PERMIT FEE $ - 1 �� � year effective
STATE SURCHARGE $ ` . o..) — ' .July 1. 2010, until June 30, 2011.
TOTAL PERMIT FEE $ 5 The minimum surcharge for a "fixed fee" permit
(Office Use Only) k SC, beginning July 1.2010
This Application Becomes Your Building Permit When Approved Paid ` 53 Re e' t No. / ..q95-
Date ++ B CD`T
Buildinr Official Date / • .- 1 Z
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372