HomeMy WebLinkAboutHEATING PERMIT 16-1247 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2)*
ADDRESS /113 I otkthte) -€41,()
OWNER --f CONTR.
PHONE NO. PERMIT NO. ) , . /2 41
❑ 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: _
0r , 4L CL
11
ORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: -10-0,21Z? Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
o� rxlo�, CITY OF PRIOR LAKE Date Rec'd
ti HEATING/AIR CONDITIONING/FIREPLACE PERMIT
U tx
1.Pink File PERMIT NO.
4101NEs01.1' 2.Green City /6'. l 2-4-7
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS • ZONING(office use)
/`/09 XakiwiyeJY
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
•
(N )OWNERSPf// L/72/ (Phone) b/p • 889- v76
'
�1g5i ��'��' /
(Address)
APPLICANT4�
(Name) , 0 .(Phone) . 2' 4'/ ' r'�"�
(Address) 07,oa(o
(Contact Person) �� / / / (Phone)
APPLICANT SIGNATURE �� ,/ I 1 DATE /07/9//0
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION KREPLACEMENT JO ALTERATIONS
FURNACE MAKE AND MODEL t5Z egl/Itv ?a z t
FLUE SIZE RETURN OPENINGS INPUT 401000 OUTPUT1Q0(7
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
0 Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
Osaravity 0 Hot Water into Required Side Yard Setbacks.
[Mechanical 0 Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
❑Vent. System 0 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 r Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Cost$ BuildingitPermit#
HEATING PERMIT FEE $ 'i 4.5
STATE SURCHARGE $_5147._
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid , Y Receipt N1 ZOO
Building Official Date Date /0 , to By
24 hour notice for all inspections(952)447-9850 L'
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372