HomeMy WebLinkAboutMechanical 99-0432
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
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TIME
SCHEDULIl:D
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ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
91-~37
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
o EXC/GRAD/FILLlNG
o LKSHORElWETLAND
AD COMPLAINT
o SEPTIC FINAL
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~ORK SATISFAC
o CORRECT ACTION~D PROCEED
o CORRECT WORKAL FOR REINTECTION BEFORE COVERING
Inspector: I Owner/Contr:
CALL 44f-4230 FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~ ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIO~ LAKE Me
16200 Eagl~ Creek Av. S.E. Permit No. qq...-4-32-
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date ~/~7.119 PID# 25-2..15 - 051-0
/ '
SiteAddress /V2. ~/ /:'Aln/ruoo D
Lot -, Block 4- Addition ~N 0 PT'.
Owner's Name ~~1C1 -f2':.e.A
Address /-Y.:L'/ / 6.A,/'k- ~OO/7 ~~vr"'"
Heating Contractor 5~~L!Y..::r,e;J'" as ~.,.:::/"eif">
Address .<?~:2 ~~A~ s-/ S:t../.
Telephone # ~Y"7-'/ /?~
Furnace Make & Model ~,t!"S 6- c:
oJ
Model Size -/}I/ /P-.f' ~ /y'
/ ANI,-
411+ -AD DrJ .
Conn. Load
Fuel M.,I CA,s Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity .
Mechanical
Air Conditioning
Vent. System .
~h
Supply Openings
Return Openings
Input;2f:/. 000 Output.
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HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Edr.
Other Devices
Cfm.
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TYPE OF WORK
Alterations
,/'
Replacement .
New Construction
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Est. Cost $ ;2000.00 Building Permit #
HEATING PERMIT FEE $ 39: 51J
Repair
Est. Comp. Date
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
4-0. Ol)
Receipt #
35083
TYPE OF STRUCTURE
L Pink
2. Green
3. Yellow
File
City
Conlraclor
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
f$39.50 -:::>
?- $aS~
$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 buildinq 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 ~ which r~w a~d approval of Plans~ -67.47
~~Ifj,ature / ~,
?f~ 4-/z;7/9Q
BUil~ffical's Signature l1ate .