HomeMy WebLinkAboutHeating Permit 14-1253 DATE TIME OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /4,44Z
3
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ CX/GRAD/FILLING
❑ FRAMING 0 WATER HOOKUP ❑ COMPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE RI
❑ FINAL 0 FIREPLACE FINAL
❑ FININSPECTION 0 PLUMBING FINAL ❑ GASLINE AIR TST
MECH FINAL ❑
COMMENTS:
)6LORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORREC •RK,CALL FOR REINSPECTION BEFORE COVERING
Inspecto �� 4 Owner/Contra
CA OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODEQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
•
,c) CITY OF PRIOR LAKE Date Rec'd
M HEATING/AIR CONDITIONING/FIREPLACE PERMIT f,4F,/
u
rNNEso�P 1.Pink File PERMIT NO
2.Green City . / 'l2-53
3.Yellow Applicant
(Please • or print and sign at bottom)
{' 1u "''•
ZONING(office use)
33'—' w ietwoo670o l\ K up
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) H or' 2o(\C cS
ccS -LsA (Phone) b1)- Sb 8'-gD94,
(Address) 3 kQc? ®c12cc1 drt\t2
Contact Person) ► ILC \CI
(Phone)
APPLICANT SIGNATURE Int DATE I- ‘•- y
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION PREPLACEMENT EALTERATIONS
FURNACE MAKE AND MODEL FUEL M '
FLUE SIZE RETURN OPENINGS INPUT ‘C)OoO OUTPUT S o
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants EFiAtearn Units and Fireplaces Cannot Encroach
El Gravity of Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices ( CAC\c0X Cantilevers to the Outside of Buildings
0 Vent. System Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL (VS TP1 ,O \e,e
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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid Williraft N
Building Official Date Date
lII t
24 hour notice for all inspections(952)447-9850 1
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372