HomeMy WebLinkAboutHeating Permit 13-1327 DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED Z L ( c
ADDRESS 677 dJ C�1
OWNER CONTR.
PHONE NO. PERMIT NO. r Z 13 2-7
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ 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: Eck 0.-VA-t-)
C7 16,—
,`WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
r.Cl2Ce..2.-0)InspectoOwner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
rrtro CITY OF PRIOR LAKE Date Rec'd
X4,4,,viie. e HEATING/AIR CONDITIONING/FIREPLACE PERMIT
U A
1.Pink File PERMIT NO.
41/MyE5O11' 2.Green City
3.Yellow Applicant i ' /5. ?
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1 o 51 1\1-c t- Avg 5 �,1c1)-- Calc ;915-7)
LEGAL DESCRIPTION(office use only)
LOT / BLOCK / ADDITION yip,& J t---S 3.22/440,0PID 5-6/ -e)01_0
OWNER
(Name)
OWNER—,
J os_kScr-- (Phone) (,s) , '. ?"---/-33,1
(Address) K4C)5 1 U3 - )\Ye S E
APPLICANT 1 1 i
(Name)_ \0IVY\\Y\ \\-,Z1:6 if5 eo0ll'‘,23 (Phone) / 5) -`dos---3.S->S3
(Address) s'4.3 ...--b---qv)v\ACA/C'l( rve 4 22$" J'/► ,�
(Contact Person) Phi\ \-\6\YYmY1 (Phone) (ala -36b - (951 I
APPLICANT SIGNATUREd-t &),,.- DATE Ia)al3
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ,REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL)-e,v)p \/_Jko leac 70 FUEL 3
FLUE SIZE G it RETURN OPENINGS INPUT `7 v,oc,p OUTPUT 5(�,a¢°'
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
K.Watm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical 9 Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
0 Vent. System ❑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) $I49.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ !K..-S-
STATE
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ 61 ()
This Application B comes Yo •Building Permit When Approved Pai 2, 2 ,L.3 Receipt No. 70 7a
Building Offici Date j. �y 5.-- - By
t
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E., Prior Lake,Minnesota 55372