HomeMy WebLinkAboutMechanical 03-0225
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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bCI;JEDULED ~::s'-3
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~~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Q3-;;J-;J-S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
4/U
I
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
If'iSNOTI
CITY OF PRIOR LAKE
16200 eRg'. Creek-Avo S.E. Permit No.03 -;";tJS--
Pdo,. Lake, MN 55372 .
HEATING APPLICATION I PERMIT Single FamiJy
Date ~ -.;(4-03 PID. () 5 - 00' - [)tj(}-O
Site Address t to '2-00 EA ~ LE CREe K /WE:: se
....
o
o
tsiI
x
181
~!l!~ Size
Supply Openings
Return Openinga
Input
OulpUl
It)
~ Edr.
'<I'
t-
'<I'
'<I'
N
....
\0
Cfm.
. Other Devices
TYPE OF WORK .
Replacement" X New Conslrudlon
~ Alterations
00
~ Repair
01
o Est. Cost $ 31 100.00
- .
~ HEATING PERMrr FEE $
: STATE SURCHARGE $
;; ,~
~ TOTAL PERMIT Fr'",=~ $
....
....
. Est. Comp. Date
. Building Perm~'
31.50
.50
40. CO Receipt III
1/:3191/
So ~ ~o4-Z
TYPI; OF STRUCTUFtS
1. Pillk - File
2. OIuo - CIJy
3. YelJaw - Cootraam
Commercial
Two.Famlly
Induslrial
Fee Schedule
~ Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residentlal, Healing Only
Residential, Gas Fireplace
Residentlm, Additions & Alterations
Residential, AC Only
Public
, Multi-Family,
X
Other
1% 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the Slate Surcharge on the bottom of this application.
The price of your heating permit Includes one rough-in and one finm Inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with building ~ nw::tlIm betore build-
ing certificate of occupancy will be issued.
tffAI CALCULATIONS REQUIRED with number 0' supply and return openIngs listed per
room wi1h CFM's per opening. New structures or additions send 'Ioor plan with s\lpply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PAIOR LAKE. MN 55372.
City Hall business hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGHofN AND FINAL) - CALL CITY ~l.L
447004230
I hereby app'Y 'or a mechanlca' systems permit and I acknowledge that the
information above is complete and accurate; thai the work will be in conformance
with the ordinances and codes of the city and with the slate building/mechanical
codes; that this form does not become a permit until sIgned by the BUILDING
OFFICIAL; fhal the work will be in accordance wilh the approved plan'in the
case of all work which requires review and approval of plans.
~~~~
APPfl~_
Building O'cal's Signature
~ -d4-;'03
Date
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