HomeMy WebLinkAboutBuilding Permit 99-0130
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS L.JLf2J-1
rbX ~ G-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
jlSULATION
INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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TIME
At-
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
h"kD
~
~ORK SATISFACTORY, PROCEED
~~'~RRECT ACTION AND PROCEED
o CORRECT ~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: le7 Owner/Contr:
CALL '44/9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
J
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE MCif!;j~,,~;;(,./1,.( 10
16200 Eagle Creek Av. S.E. Permit No:-' ' . ....,-,
Prior Lake, MN 55372
Date
HEATING APPLICATION I PERMIT
fL C;r-~~Dzl-O
PID #
Site Address \14-').. \.f m"J' H-Q}{\"'\ Qt.
Lot "'I Block 4- Addition ~AI &5- h u...;:; ::sf:f.2 AfJ-')
Owner's~ame F~\::. ~~-.eQo v
If y. ~'-l ~~ btlM T G\-
Heating Contractor ~ \ V- tv\a....~ ~
Address (01 ro l~~ "-' C:l. ~+. l,U.
Telephone # ~ \ L\- '1 t ..,. SC{ ~ ":l.
I
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Address
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
~
'f-
-1
Return Openings
Input
Edr.
Output
':t(\C .
~n \f' v(} tl €~
''fr' t~~ l~"f
TYPE OF STRUCTURE
1. Pink
2, Green
3, Yellow
File
City
Contractor
fl
Single Family
Commercial
/
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
-Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
<:J39.51t>
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinq permit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
Cfm. f p,,,~ ~.
Other Devices tt=>>~ F:'1'C> f1Ctc..~ ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
TYPE OF WORK
~
Repair
Est. Comp. Date
).- -).{ - 9~
New Construction
Replacement,
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit #
~-~
.50
......
-
'to
Receipt #
-
'~41)~
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work WhiCh,1 r, Jires review and approval of plans.
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Building -Offic'aI~lSigl1attrl-e - Da{e (