HomeMy WebLinkAboutHeating Permit 13-0307 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHED LED Z I It"(re.
ADDRESS 3 1 0 )('....4.1M
OWNER CONTR.
PHONE NO. PERMIT NO. C3 , 3t, 1
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑�.GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ��^
COMMENTS: -InQP-PP''
Ln.'-
CO IC r4%) Ct41-.
81-6
W RK SATISFACTORY,PROCEED
((❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
__CclInspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
'0 — 11 5
igJ4/, o
1'RI0 CITY OF PRIOR LAKE Date Rec'd
`�" ` HEATING/AIR CONDITIONING/FIREPLACE PERMIT
4r:
k, r
d'lNNESoo I.Pink
city PERMIT NO. /3 . 307
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS3-1 O� L�c �f�s ZONING(office use)
f
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)R NYAC�1�W �GC kO (Phone) 952_ l("IO'. q9.70
(Address) 310 3 J e -- s C+' •
APPLICANT (Phone)(Name) /V( l 2 I \� I J Z--/I.(/ 7- I00
(Address) 2200 UC) ' I w\I I r3 15 \Wi tt,e, ss'3'61
(Address) (City) (Zip Code)
(Contact Person) V`.T VIXV\n (Phone) •
APPLICANT SIGNATURE CAta-Sar-
DATE .±171111
1
APPLICANT PL A E COMPLETE BELOW
ANEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL Len n oy L2d1 Le ut- 11,5X\/Li OC FUEL
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
❑ ravity
0 Hot Water into Re uired Side Yard Setbacks.
Mechanical 0 Radiation q
❑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) $64.50 Residential,AC Only
Estimated Cost$ Building Permit #
�
The Minnesota Statutes**32613.148
(
HEATING PERMIT FEE $ 19. 5 0 "St%RC IARCiE"has been changed for one
year effective
STATE SURCHARGE $ 5.0 O .50 .July 1,2010,until June 30,2011.
TOTAL PERMIT FEE $ 5y SC) The minimum surcharge for a"fixed fee"permit
(Office Use Only) is 5:f,beginning July 1,2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date 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