HomeMy WebLinkAboutMechanical 99-1416
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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:
DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
fI1\\ 0 FIREPLACE FINAL
@~GASLINE AIR TST
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /!Ltl\. ' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY eF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
59/8
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I<T
.
..
DATE TIME
SCHEDULED ~
CR() CXA-N O,er7
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
0/1
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o EX/GRAD/FILLING
o COMPLAINT Ii)
flt"FIREPLACE RI '<V
t[]FIREPLACE FINAV~
'g. GASLlNE AIR TST 'IttJI
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
1
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 9'9 -/4IfP
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
j ~ - / C, -- PID # z.. ~ - 31 ~ .. d f C, -tD
Site Address 59Lf? ~ <c:,,,ar/f elf ~ -V~ _c:: E'.
Lot ---L- Block 2- Addition~I/r/A1- A!tt)~6 ~
Owner's Name --.Fd ~.,d y
5!1/ 8> ~~~'.5 ~/tdrLt! 3-1- 5, E.
WAL~ 7n,/~t7lfdcd
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7~dJ\ &Ldn6'iU1 Me'. StJ ·
RiJ:JI.... )(6)/3
Date
Address
Heating Contractor
Address
Telephone #
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
. 6 I
OthiJ:J{i~. (V~~
~~
TYPE OF WORK
Model Size
Conn. Load
Fuel
Supply Openings
Flue Size
Return Openings
Input Output
Edr.
Cfm.
Alterations
Replacement ,
New Construction
Repair Est. Comp. Date
Est. Cost $ Building Permit # 99-1t./lfp
HEATING PERMIT FEE $ :Yj.57J
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ 4om) Receipt # 3fr;5"72-
I. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family
Commercial
K
Two-Family
Industrial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Multi-Family
Public Other,
1 % of job cost ($39.50 minimum)
$99.50 PLEASE NOTE:
$64.50 Air Conditioner Units Cannot
$39.~O Encroach Into Required Side-
$39.50 Yard Setbacks.
$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.
.tlEAI 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
44'7-~
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
"7l1iltdQUi,e. review end epprov~ of PI~~~ _
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uilding Offic4I's stgfflItur&'~~ ~ '