HomeMy WebLinkAboutMechanical 99-0930
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASL}NE AIR TST
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XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
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Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSJVOrl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
TYPE OF SYSTEM
Warm Air Plants
Gravity . Additional inspections will be billed at $35.00 each.
Mechanical ___ House Heating Test Record must be submitted with buildinq permit number before build-
Air Conditionin~ 5taI A- NX.OJ,.~ ing certificate of occupancy will be issued.
Vent. System ':). a~
. HEAT CALCULATIONS REQUIRED with number of 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
CITY OF PRIOR LAKE MC
16200 Eagle CreeK Av. S.E. Permit No. CJ:1-q.3()
Prior Lake, MN 55372 .
HEATING APPLICATION I PERMIT
Date~7...qq PID#2LS-'U>S-~7-D
SiteAddress /'-1/ ~J- _~&tZ.-;UtE. PU50
Lot 4 Block 9 Addition SA/VO PO/NT 2~
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Owner's Name La r r '-f / :e..1' k:.Je ~
Address J '-II ;; j /J.J' ~ /Ju.e. IV ~
Heating Contra~r/lJ'a; /II....P ~.:; ~/ /I
Addressl ~Yh ~ Rho ~ ;Z; I~Y Al S' ~/J.4JAfe
eI &, l::r q-qv t!J t::J C) r- ---
Telephone #
Furnace Make & Model
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Output
Other Devices
Cfm.
Alterations
TYPE OF WORK
Replacement x: New Construction
Est. Comp. tate '"
Repair
Est. Cost $ Building Permit #
HEATING PERMIT FEE $~ q . c-o
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ L/ t1 ~ ReceipU
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3sezo
\. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family . Vi
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Public
Multi-Family
Other
Two-Family
Industrial
Commercial
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
$39.50
$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.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
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 requires review and approval of plans.
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Date /
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Building Offical's Signature
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