HomeMy WebLinkAboutMechanical 99-1181
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CITY OF PRIOR LAKE
INSPECTION NOTICE
.;
SCHEDULED
DATE TIME
~i(lod "&:30
ADDRESS
5758
Ce UA,e. 01 000
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: .,ee- / N~ .
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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~ORK ATIS ACTORY, PROCEED
o CORR CT AC D PROCEED
o CORR.,C1: OR, C LL FOR REINSPECTION BEFORE COVERING
Inspecto(. \ Owner/Contr:
C~ .LL 447-9850 ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~ REQUlRE+NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~ INSNOTl
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. !If r tl81
Prior Lake, UN 55372
HEATING APPLICAnON I PERMIT
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SiteAddress 6'168 Cf>cb,(,,<AX'd oSl PUp
Lot fb Block I Addition SAN 0 PO I I'SI' Q I r-(
OWner's Name. (?h vi:"'l ~'i) e
Address _ .~15)<, r?(?rb-("~~ ~
Healing Contractor ~ e \" ~ -\ ~\ \)A c -
Address >8'()\ \b..dh ~{"\~ (Jktnh:t~V\ AJIIJ -1"""'iJ'7
Telephone #I J.f )~ - /)J. 6'
Furnace Make & Model A~(\""
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Model Size
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Conn. Load
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Supply Openings
Return Openings
Input ~O
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AIleralions
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Air Con'dlioJ;ing
Vent. System
Flue Size '"'V \) f-
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Output )110 OG
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devlcas
TYPE OF WORK
,Replacement V
. Est Comp. Date
New Construc:1ion
Est. Cost $ /8)J.j
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit ,
. ~9 'iu
.50
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TYPE OF STRUCTUR.E
Single Family
Commercial
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Two-Family
Muli.Family .
Other
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1% 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the Stale SurchBfge on the bottom of this application.
The price of your heating permit includes one rougtl-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Healing Test Record must be submitted with ~ wmnil ~ belore build-
ing certificate 01 occupancy will be issued,
.!iEAI CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New s1t\Jctures or additions send floor plan with supply
and retum 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
447-985D
I hereby apply tor a mechanical systems permit and r acknowledge that the
information above is complete and accurate; that the work will be in conlormance
with the ordin w,", ,.i;j"; odes ot the city and with the state buildingfmechanical
codes; lor es not become a permit until signed by the BUILDING
OFF J\L; t t ork will be in accordance WIth the approved plan in the
c e of all hich;;eqUQS revieWqd approval of plans.
9-cJ3.)9
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Bu\lding-Otficars-ffignature