HomeMy WebLinkAboutMechanical 99-812
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
LfR33
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING ~ ~UMBING RI ,-. J
o FRAMING ~ECHANICAL IN.......
o INSULATION 0 WATER HOOKUP
o FINAL 0 SEWER HOOKUP
o FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo C 0 SfE ~SP;cTION
COMMENll)~ nAV"V\O.Ce; I A:fe
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DATE TIME
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o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
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,,"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT m C~LL FOR REINSPECTION BEFORE COVERING
Inspector: jrA l~ Owner/Contr:
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CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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HOUSE HEATING TEST RECORD
ADDRESS l./{ 11 ^,.~.. JA 0 A.N!
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HEAT LOSS DATE HTG. INn. ,-'"T.. 1C,
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TYPE OF HUT
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 99- BIZ-
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date Ce 'd~.qq PID# ZS-92-h- 06Q-O
Site Address 4833 BEACH ST NE ~/:50
lot Block
Addition il/c../e:.:::> //11 /ftJ{}NQ<:;;.
DUANE MELLING 496-1606
Qwner's Name
.
Address
4833 BEACH ST NE
Huting Contractor RON'S MECHANICAL. INC.
Address 12010 OLD BRICK YARD ROAD
(612)445-8585
Telephone #
Furnace Make & Model Ie fY' pS-\a. y
Model Size t-JT f> (Q I OD
Conn. load
Fuel
l)~
Flue Size
Supply Openings
Return Openings
InputJOO.OOO Output qO,t)O()
Edr.
Cfm.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning :J '/:l-ttnI
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Alterations
Replacement, 'A
TYPE OF WORK
New Construction
Repair
Est. Cost $
Est. Comp. Date
3coo. Db
Building Permit # .
9t1-f8/z.
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
~Q, C,O
.50
4{).OD
1-- q~
Receipt #
35~
TYPE OF STRUCTURE.
L Pink
2, Green
3. Yellow
File
City
Contractor
Single Family l\
\
Two-Family
Industrial
Multi-Family .
Other
Commercial
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 ($3950 ..
$99.50 . minimum)
$64.50
$39.50. .....€.,............G.. O<...r~
$~;i.~,t'. ~
$39JiO'" .
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 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.
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
tdh,9/QQ
[tate
Building Offical's Signature