HomeMy WebLinkAboutMechanical 99-187
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5393
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION &
~ FINAL
o SITE INSPECTIO
SCHEDULED
~
/soH- .J/.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:-R. ~
A.I I
. .,._-,.,.,- ,
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DATE TIME
-9/5/tJ /
9:dO
99 -O/51?
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
I
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTJ
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2. Gr~n
3. Yellow
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City
Controcto.
CITY OF PRIOR LAKE MC dC;"C
16200 Eagle Creek Av. S.E. Permit No. (/~( 0'7
Prior Lake, MN 55372
TYPE OF STRUCTURE
/c;U) ~
~o-FamiIY
Industrial
Single Family
Commercial.
Mulli-Family
Other
HEATING APPLICATION I PERMIT
Public
Fee Schedule
Site Address
v:-
Lot ) Block
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
$39.50
$39.50
Owner's Name
Remember to add the State Surcharge on the bottom of this application.
Telephone #
TYPE OF SYSTEM
Warm Air Plants
Gravity /J^ L Additional inspections will be billed at $35.00 each.
M.echani~~1 . 5~~ ll~V '/1 1/; J House Heating Test Record must be submitted with puildinq permit rlUmbe( belore build-
Air Condltlonln\/ l.- /\ l. at '1 - 1)/ ing certificate 01 occupancy will be issued. .
Vent. System eX I
HEAT CALCULATIONS HEQUIRED with number 01 supply and return openings listed per
HEATING OR POWER PLANT room with CFM's per opening. New structures or additions send floor plan with supply
Steam and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
Radiation CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Special Devices
Furnace Make & Model
The price of your heating permit includes one rough-in and one linal inspection.
Model Size
Conn. Load
Flue Size
Fuel
Supply Openings
Return Openings ~
Input O~ Q
Edr. / . . j} /
/ AU{J' /
( V- .J
~ - TYPE OF WORK
Replacement ~ New Construction
~
1
City Hall business hours 3re 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
Other Devices
Cfm.
I hereby apply for a mechanical systems permit and I acknowledge that the
inlormation above is c;omplete and accurate; that the work will be in conformance
with the ordin cas and codes of the city and with the state building/mechanical
codes; that s form does not become a permit until signed by the BUILDING
OFFICIA lat the wor~i11 be in accordance with the approved plan In the
case of work whidv'r~quires review and approval of plans.
Alterations
Est. Compo Date
Building Permit"
39 !J--O
.50
'/IJ.tJO Receipt #I
Repair
Cjf -a7
Est. Cost $
3-/10-7' Y
Date -
~'5 -(9 J( 1
Date
HEATING PERMIT FEE $
.
STATE SURCHARGE $
TOTAL PERMIT FEES $
~L/7 9 Lf