HomeMy WebLinkAboutMechanical 99-0805
DATE TIME
CiTY Of ."RIOR LAKE 1"'2f:14'i l ( ;k.>
INSPECTION NOTICE SCHEDULED
ADDRESS 512..4 ~(\Jl()(\s s,..
OWNER CONTR.
PHONE NO. PERMIT NO. qq-2.05
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION.. /
COMMENTS: 41 C
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~UMBING RI
MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT lJ~RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: M: Owner/Contr:
I .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE MC qq _ S
16200 Eagle Creek Av. S.E. Permit No. g 6
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
DateJL:2~-qq PID# 25-02.'1-009-0
Site Address !l/2U ~.Df\d!IDC\<\+V~tI.f- ~/SO
Lot Block , Addition
Owner's Name~+- ~
Address S l2.L.I 'JJnc1oas SlY:n ,f-
Heating Contractor ~~ ,~u.th~; elL
Address JL/132. Pe.nroc:JL Jw./JW.L
Telephone # ~"l.. - 4..31 - '1()qq
Furnace Make & Model ~
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Output
Cfm.
llvL~~;>c;
TYPE OF SYSTEM
Warm Air Plants
Gravity _
Mechanical
Air Conditioning .~I It) uM(A-03oJA'Z.
Vent. SystemZ'1z- rOTl
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Alterations
x
Replacement
TYPE OF WORK
New Construction
Repair
Est. Cost $
Est. Comp. Date
Building Permit #
C{i -fD)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $.
3 q, 6D
.50
).JO 100
Receipt #
355~/
I. Pink
2, Green
3. Yellow
File /
City V
Contractor
TYPE OF STRUCTURE
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
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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 of all work which requires review and approval of plans.
DQJtUL R L lAJohlJ,w
. //A~PIiCf1' Sign
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~- 23-qq
Date
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