HomeMy WebLinkAboutHEATING PERMIT 16-1032 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED j 1 I`, '
ADDRESS 1 Ca'• I . �.41—! l
OWNER CONTR. f
PHONE NO. PERMIT NO. //K�1 ( 0 U
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
0 MECH RI
❑ FOUNDATION0 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 n
COMMENTS: PIA iV
0 e--1N ete
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ORK SATISFACTORY,PROCEED
D CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: kitkl-/ Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
IWSNOTI
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04 PRION ilk, :.:
CITY OF PRIOR LAKE Date,Ret'd
B HEATING/AIR CONDITIONING/FIREPLACE PE ' 1 •
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zk PERMIT NO. /, /0 Z.
3.Yellow Applicant
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ease type or print and sign at bottom)
DRESS ZONING(office use)
15668 Highland Ave NW
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)OWNR Jon Pugh (Phone) 952-393-0618
(Address) 15668 Highland Ave NW
(Name) otal Comfort (Phone) 763-383-8514
(Address) 4000 Winnetka Ave N #100 New Homme MN 55427
(Address) (City) (Zip Code)
(Contact Person) christine burgess (Phone)
APPLICANT SIGNATURE DATE
APPLICANT PLE• . COMPLETE BELOW
❑NEW CONSTRUCTION E. LACEMENT 0 ALTERATIONS
CACE MAKE AND MODEL Lennox ML180U1-1045 (2) FUEL
FLUE SI7.F RETURN OPENINGS INPUT OUTPUT
_i
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
:Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
®Mechanical 2 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 $49.50
9,000 Building Permit # E
Estimated Cost$ � a
HEATING PERMIT FEE $ -4T *— -/
STATE SURCHARGE $ ^^L� %.
TOTAL PERMIT FEE $ JP04t 5&3V
(Office Use Only)
's Application Becomes Your Building Permit When Approved Paid V(J- Receipt Nob !(
Building Official Date Dateq z Z.—/0 By .
7 Ck/1- 11C
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 111 VI I) , 9tc (