HomeMy WebLinkAboutMechanical 99-0913
CITY OF PRIOR LAKE 7~-i?t ~
INSPECTION NOTICE SCHEDULED
ADDRESS , (A5o Anr\6... 'Tn..,
OWNER CONTR.
- -
PHONE NO. PERMIT NO. ~, qt3
o FOOTING A;iUMBING RI t==Nt... o EXC/GRAD/FILLlNG
o FRAMING ECHANICAL o LKSHORElWETLAND
o INSULATION o WATER HOOKUP o COMPLAINT
o FINAL o SEWER HOOKUP o SEPTIC FINAL
o FOUNDATION o SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREVo o SITE INSPECTION
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Owner/Contr: -
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
File
City
Contractor
Pink
Green
Yellow
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2.
3.
TYPE OF STRUCTURE
c;9-CJI3
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit
Prior Lake, MN 55372
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Public
Two-Family
Industrial, Commercial & Multi-Family
Residential
Residential
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
Single Family
Commercial L~lndustrial
Fee Schedule
Residential
Residential
Residential
No.
HEATING APPLICATION I PERMIT
25-902-- DS€!;-O
:Gz..
l
Block
Site Address
Lot
Address
Date
Remember to add the State Surcharge on the bottom of this application
Heating
Address
final inspection.
heating permit includes one rough-in and one
inspections will be billed at $35.00 each.
The price of your
Additional
building permit number before build-
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
HEAT CAL< LATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) -
CALL CITY HALL
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
TYPE OF SYSTEM
Warm Air.pla..l~ -
Gra'i~t, -=
Mechanical
Air Conditio
Vent. Sy
Telephone #
Furnace Make & Model
G-<-S
Model Size
e
"1'(, 000
Conn. Load
Fuel \\~ C::-Q... ~ FI
Supply Openings
Return Openings
1'2. 0 ow 6\UDutput
Edr
Input
I hereby apply for a mechanical systems permit and acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
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attlr if
7J'P,~L.
":,,,<'~~
447-4230
Other
TYPE OF ~RK
Replacement t./
<60
Cfm.
Building Offical's Signature
New Construction
W-9.J<3
3580/
Receipt #
Building Permit #
50
Est. Comp. Date
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$
TOTAL PERMIT FEES $
HEATING PERMIT FEE $
STATE SURCHARGE
Alterations
Repair
Est. Cost $