HomeMy WebLinkAboutMechanical 99-452
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDUL&D
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ADDRESS
5(<XJ.~ s~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
cr,- '/5 Q..
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~~~~~1~
~~
v
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 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 & SAFETYI
INSNOTI
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City
Contnctor
CITY OF PRIO!1 LAKE Me
16200 Eagle Creek Av. S.E. Permit No. .99 - Ll:52..
Prior Lake, MN 55372
TYPE OF STRUCTURE
)(
Single Family
Commercial
Two-Family
Industrial
Mulli-Family
Other
HEATING APPLICATION I PERMIT
Date L1-:;(~..c{Cl PID # 25-D31 - C I 0 - 0 12-15D
Site Address ~()() ~ S n..~
Lot 2A- Block Addition FA\F< LAwN ~:a1oF2~1S
Owner's Name \\;: \ \\ ('J~S~ ~ J
Address \lJ:,l\Y O~(',"r ~. La.Yev\ lLe~9"Ut{
.. - - ....., \ "
Heating Contractor ~lr\ \\., ~~(\G 't f\1 (/
- - ~ ~
Address \~~~\ L 'V\.cvL '\:~\f1('\d ~ $,~tJ
Telephone # C ~~ la-- ~L..\- (l')OO~
Public
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 01 this application.
TYPE OF SYSTEM
Warm Air Plants
Gravity Additional inspections will be billed at $35.00 each.
M.echani~~I. an. ~ It.N1.. <: I"W ~ouse ~:ating Test Record ~ust b~ submilled with buildinq I2!lliI!il number belore build-
Air Condltlonmg ~ ' r ..:> L. \ ~I\..O '!k Ing cerhltcate of occupancy Will be Issued. .
Venl. System "3.0
HI;AI CALCUJJ~I.LQliS REQUIRED wilh number of supply and return openings listed per
room wllh CFM's per opening. New structures or additions send lIoor 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.
Furnace Make & Model
The price of your heating permit includes one rough.in and one final inspection.
Model Size
Conn. Load
Flue Size
Fuel
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Supply Openings
Return Openings
Input
Output
City Hall business hours are 8 a.m. - 4:30 p.m.
Edr.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
Other Devices
Cfm.
TYPE OF WORK
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 whkh requires review and approval of plans.
Cptl~ .~
~ Sign .
Building Ollicat's Signature
x
Replacement
New Construction
Alterations
Esl. Compo Date
Repair
qq-452..
Esl. Cost $ J.~OO. DO Building Permit #
I
HEATING PERMIT FEE $ "3 q. sl)
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ 4 D. Dn Receipl# -.3509 ~
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