HomeMy WebLinkAboutMechanical 99-0239
~ 0 PLUMBING RI
I~ MECHANICAL
~ WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
~-~
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ...mg 6
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
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DATE TIME
SCHEDUlEP
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CONTR.
PERMIT NO. c;q - 1., 3&f
o EXC/GRAD/FILLlNG
o LKSHORENVETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
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'WORK SATI~C RY, PRo&EED )
o CORRECT AC" NAND PROClED I
o CORRECT W . L FO~~INSPECTION BEFORE COVERING
Inspector: ;;1' Owner/Contr:
CALL U~OJHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE 11
16200 Eagle Creek Av. S.E. Permit No. ......i1 - 23q
Prior Lake, MN 55372
Date
\ (l k~ QlSb
OWner's Name
Heating Contractor
Address
ZBI9 (jUUl''1 HA[-,IU~ tH)ULl:.VARD
~o..o.N RAPIDS MN 554:7.:7.
~ Id- - 4L\D~ L\'h6\.-\
Telephone #
Furnace Make & Model ~'YY\{i5t~ (
~-\-\J ~ 01 ':) of"l~
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical fI. rrP V::07 5
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load \ \ D ~ (rx)
Fuel 0~\f\nJ2 Flue Size
Supply Openings
Return Openings _
Input ::1.5li\ll Output
Edr.
Other Dl9vices
Cfm.
TYPE OF WORK
Alterations
Replacement
New Construction
Repair.
.f'--.
Est. Comp. Date
\ . b) (') '}. t C) Building Permit #
~..~D
qq -231
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
w5 .0::>
Receipt #
3 L{~32
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
'<
Two-Family
Industrial
Public
Multi-Family
Other
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.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with building permit [lumber 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
447-4230
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 acco.rdance with the approved plan in the
case of all work which requirffs r~,:,!-~.wand approval of plans.
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Date'