HomeMy WebLinkAboutHEATING PERMIT 16-53 (Furnace) DATE TIME
CITY OF PRIOR LAKE 13 froINSPECTION NOTICE SCHEDULED
ADDRESS x,51 2 \c(kdo ' 5)L.
OWNER CONTR. / ✓
PHONE NO. PERMIT NO.(Co Z I ko -S 3
❑ 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 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 5C.-._,.e,4... na u
COMMENTS: //'"'-'
CD k- C --4--Q--
40-WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:C�/�'ems Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
iNsnor!
PR/0 CITY OF PRIOR LAKE Date Rec'd
o ' le
a e HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I.Pink File PERMIT NO. 2
4"NNEsOi 2.Green City / , MI5_J
(Please type or print and sign at bottom)
3.Yellow Applicant
ADDRESS l05 1 a 1•'4rX0` 6r Pk ME ZONING(office use)
PvS„b
LEGAL DESCRIPTION(office use only)
LOT co? BLOCK 001 ADDITION 444.Azo r S41.' Medd rt. PID 2S -(1666-70
OWNER ff
(Name) She Ido► mt-‘nSo►'1 (Phone) ~)O I • ,,, c10- Fy6 9
(Address) us I a. 4c1/4A0 or P l WE Pr%oar Lcke, h'iN S. 3-72
APPLICANT
(Name) CENTERPOINT ENERGY (Phone) 763-785-5404
(Address) 9320 EVERGREEN BL NW SUITE B COON RAPIDS, MN 55433_
(Contact Person) JOANN ZIiiii N (Phone) 763-785-5404
APPLICANT SIGNATURE at/ /i DATE /- S- /6
t110
• 'PLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION 'REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL Cc�re
r; r- FUEL NAA\ 4.rca CoeLs
FLUE SIZE RETURN OPENINGS INPUT la,60C, OUTPUT 7c.,TrOo
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
ffIWaim Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
Mechanical ❑Radiation Fireplaces with Box Additions or
u-Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices 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 $49.50
Cost$ 10400. O O Building Permit#
HEATING PERMIT FEE $ `-I q.S 0
STATE SURCHARGE $ 1..;_OO
TOTAL PERMIT FEE $ 56 .S0
This Application Becomes Your Building Permit When Approved Paid hh Receipt No. S.Ctq
Building Official Date Date 3./.2,. l
.i I _(/ By
5'
24 hour notice for all inspections(952) 447-98501
4646 Dakota Street S.E., Prior Lake,Minnesota 55372