HomeMy WebLinkAboutMechanical 99-1370
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDJ'-t..ED
DATE TIME
tL:Jo.ao .3~ ~
ADDRESS
1(0112-- ~n5()N ~I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
,*FIREPLACE A Nit-v
rrTWOOOS
~ WORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ . Owner/Contr:
/
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIQR LAKE Me '3-TJ
16200 Eagle CNJek<Av. S.E. Permit NO..$ "., /. ) /--
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date /1-22 - C;C; PID# f2..5-3t~-Q:?3-o
I . (
Site Address / f// 19'2 c'/4171 s c:;AI (2 r.
Lot B Block l Addition Wl\,CB....~b POI\b>
Owner's Name _fb..!d.lal)1 1-. AlzaJo /)
5rtl11 c
SI"j/716
Address
Heating Contractor
Address
Telephone #
+17.. 53~O
Furnace Make & Model
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Output
Cfm.
TYPE OF SYSTEM /"\
Warm Air Plants =..GAS- F ('-".
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices .
Other Devices
Alterations
TYPE OF WORK
New Construction
Replacement
Est. Comp. Date
Building Permit #
~.c:;O
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
1-0. -
Receipt #
3tp54)'
1. Pink
2, Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family
Commercial
}O
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 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.
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