HomeMy WebLinkAboutHeating Permit 13-0895 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED - i'"►. k*
ADDRESS 5 I -7..._. /- -) t--.)-4=2-
OWNER
-4=—
OWNER CONTR.
PHONE NO. PERMIT NO. ' 3 f-4.--,5
❑ 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 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: A J
0 4-- (i
erORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC RK,CALL FOR REINSPECTION BEFORE COVERING
Inspect° a-,"-------> Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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CITY OF PRIOR LAKE Dale Re 'd
3; HEATING/AIR CONDITIONING/FIREPLACE PERMITtn VN
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1. PGreinken FCity ile PERMIT NO. 3 ol c
12
3, Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
27 'Z -ic. / - - . (--J P Z,
LEGAL DESCRIPTION(office use only) '`
LOT 1 BLOCK / ADDITION Gr/F51/ACV 7/ ,5' PID '?5 " 7 - evf -a
OWNER / 07-Z1)-6 es7
(Name) j�r.L G1 rd.�►.. S (Phone)
(Address) '3 7 S7l i 'kit 1' _5 1-j O.
APPLICANT ( k �L L/C/T �U
c(Name) .y r / le C�`a^4,�r (Phone)
(Address) 2 (924> 644Per £t)I b tin(".. 5L . c.C27
(Address) (CityGr (Zip Code)
(Contact Person) C i "1.10.- Z- Ci_I s - n
APPLICANT SIGNATUREc---,MaCtilr*ti/jcV DATE
APPLICANT PLEAS COMPLETE BELOW
['NEW CONSTRUCTION [ REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL Car C 12 r a 4 Pt-OM 4 V1 FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
OGravity 0 Hot Water into Required Side Yard Setbacks.
❑ echanical 0 Radiation Fireplaces with Box Additions or
Air Conditioning 0 Special Devices
['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 $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ '401.6O
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ N.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved P id J 4 so Receipt No./w 4,So
Building Official Date Date Q C7 , 14_ 11.5 By
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372