HomeMy WebLinkAboutMechanical 99-546
DATE TIME
CITY OF PRIOR LAKE , -If ,., k
INSPECTION NOTICE SCHEDULED
. -
t..!eos . Sr
ADDRESS ~
-
OWNER CONTR. fl
-
PHONE NO. PERMIT NO. qq - Sc..t G:,
o FOOTING A ~LUMBING RI fNl. o EXC/GRAD/FILLlNG
o FRAMING ECHANICAL o LKSHOREnNETLAND
o INSULATION o WATER HOOKUP o COMPLAINT
o FINAL o SEWER HOOKUP o SEPTIC FINAL
o FOUNDATION o SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREVo o SITE INSPECTION
COMMENTS: ~,~
~~ ~ c.... c-t ~~
~ ~ ~~&
~ ~ .
~ ~
(y/
INSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447 R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
File
City
Contractor
Pink
Green
Yellow
I.
2.
3.
TYeE OF STRUCTURE
9Q,5L!b
CITY OF PRIOR LAKE MC
16200 Eagle Cree~ Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Multi-Family
Other
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Public
Two-Family
Industrial, Commercial & Multi-Family
Residential,
Residential
Residential
Residential
Residential
Industrial
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
~
Single Family
Fee Schedule
Commercial
00/-0
..
Address
Heating
Remember to add the State Surcharge on the bottom of this application.
Address
final inspection
heating permit includes one rough-in and one
inspections will be billed at $35.00 each.
The price of your
Additional
building permit number before build-
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
HEAT CALI LATIONS 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.
HEATING OR POWER PLANT
Steam
Hot Water _.~
Radiation _
Special Devices
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Conditioning
Vent. System
,(
~
CALL CITY HALL
City Hal 4:30 p.m
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) -
business hours are 8 a.m.
Conn. Load
Fuel ~ Flue Size
Supply Openings
Return Openings
Input At AJ 0 I) 0 Output
/
Model Size
Edr.
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 .ch requires review and approval of plans.
Other Devices
~
New Construction
TYPE OF WORK
Replacement
Est. Comp. Date
I/O ~
'/~ 00.
Cfm.
Alterations
Repair
Est. Cost $
~[)~
ature
35/75
Receipt #
0.-
.50
$b
I
I
HEATING PERMIT FEE $
$
TOTAL PERMIT FEES $
~5rt41v.~.-'
STATE SURCHARGE