HomeMy WebLinkAboutHEATING PERMIT 16-1288 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 60 G
ADDRESS `--1()3 W�,i,l.CQ—cr0--L".
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OWNER CONTR. / _
PHONE NO. PERMIT NO. h(y -- G
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP (REPLACE FINAL
❑ FINAL 0 PLUMBING FINAL GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
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0(05-e- CDA--(A L,
WORK SATISFACTORY,PROCEED
y4.._,
❑ CORRECT ACTION AND PROCEED
❑ CORRE' ip-K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: JAI Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
of PRI0,?
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITININ /FIPLACE PERMIT
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iVESD
I. Pink FilePERMIT Na2. Yello City 1\ //y _ /7. T
3. Yellow Applicant ct� c.�/V (((JJJ
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
435 Witicl.so.r9 C i rlce NE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) L—LCKJZ -Q n e S (Phone) (42.- 9t,8 -9053
(Address)4035 WI rIaSnnC.l C�v'T1{', �E1 Pry c r Lc-ac , n-4r j 55:-- --72_
APPLICANTT r
(Name) I F rP p 1ct c t ( ?(.1.,L (Phone) /2-- - 2_.(c) 1919
(Address) 0 ■I a.1-€. A C.. L ', n) Oct / ' L/ . . 24
(Address) (City) (Zip Code)
(Contact Person) ifi/3 '1 43'K1?-4 tie.I (Phone) "^,12-32h, - I Q 19
APPLICANT SIGNATURE \ /1 /f(2c AUi 41JA D DATE / 0/25//CF'
APPLICANT PLEASE COMPLETE BELOW
[NEW CONSTRUCTION ❑REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants PLEASE NOTE: Air Conditioner
❑Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water
El Mechanical into Required Side Yard Setbacks.
❑Radiation Fireplaces with Box Additions or
❑Air Conditioning ,Special Devices
['Vent.System Other Devices NiG{i5 Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL rip lct(. f(15t
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 $49.50
Estimated Cost$ i (70 0 Building Permit #
HEATING PERMIT FEE $ 49 5O
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 5� .n C)
(Office Use Only)
`
This Application Becomes Your Building Permit When Approved Paid R eipt No
Date I , y
Building Official Date l , L(
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372