HomeMy WebLinkAboutMechanical 99-102
~ CITY OF PRIOR'iJAKE
INSPEC'ftON NOTICE
SCHEDULED
ADDRESS .:3331
~Sr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
COMMENTS:
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DATE TIME
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o COMPLAINT
;.J A.~PTIC FINAL
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NSPECTION BEFORE COVERING
I
Inspector: ,~ / Owner/Contr:
CALL ~7-42UTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE MC qq~6/OJ-
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date c2--1b -99 PID # riC)- /7;)-QJO-0
Site Address 3.Z? 7L?:kA r? S / 5:4/
Lot 3 _ Block 3 Addition 5UVl<<5e t tf, I b A-0..t1.
Owner's Nameflv.c:~ R.J:-.esi>.?V
Address $SJ'7 J!?AkA/-; :5/ S::Ai
Heating Contractor s:rA'rr ~pV- 6Z~ :;:;;.L:re~
Address :r~/.;:zek,fH 57 5:/J
Telephone#(G"/Ol) ot/'S'7-7IY5"
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Furnace Make & Model fib/r &1.16
Model Size .cJJt/ S-r 5......~J
Conn. Load
Fuel ...<41 a s Flue Size
Supply Openings
Return Openings
Input Output.
Edr.
Cfm.
/~o
Alterations
, Replacement
TYPE OF WORK
Est. Comp. Date
Building Permit #
~'r- -S-o
.50
+0 . --- Receipt # _
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
New Construction
"'
L Pink
2, Green
3, Yellow
File
City
Contractor
TYPE OF STRUCTURE
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.~
'll.;l;:1.ou
$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 buildino permit number before build-
ing certificate of occupancy will be issued.
HEAT r,ALCULATIONS REQUIRED, with number of supply and return openil1gs 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
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 ork.Wh;4.~Ui:d:nd approval of Plans'.2~h?
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