HomeMy WebLinkAboutMechanical 99-1281
CITY OF PRIOR LAKE
. INSPECTION NOTICE
SCHEDULED
DATE TIME
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ADDRESS
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1527/ Prl/t<L-A w'N ~rlO~fES
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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COMMENTS: _ \ . <1P
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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
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^~_~ATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
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Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
99,.-/2FJj
Date
Conn. Load
Fuel !lI~ f t/1 r 0) I Flue Size S
Supply Openings
Return Openings
Input'tSOOO Output 69000
Edr.
Cfm.
TYPE OF SYSTEM -..J..
Warm Air Plants f'
Gravity
Mechanical
Air Conditioning
Vent. System
x
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Alterations
TYPE OF WORK
Replacement V New Construction
Est. Comp. Date 10 /2 :(
Repair
Building Permit #
99-12-8/
I
Est. Cost $
HEATING PERMIT FEE $ .5 q . SO
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ Lj 0 Receipt # --3~ 4~
TYPE OF STRUCTURE.
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
x
Two-Family
Industrial,
HEATING APPLICATION I PERMIT
. PID#~f5.-/19- all-0
Site Address _ f ~ 2 7- / j- a,' Y' / awn S h 0 r e ( Ie y Y" cJJc ~ S!..
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Lot I Block 10 Addition Pl!!JOfi!- flIIA__
Owner's Name R 0 VI !.. () I/l JJ f'. / 01
Address 1~21 ,-J{:o,,'r/owl/l 5horLS Ter-rOd( Sf
Heating Contractor w{; h ) e l' j SOlA f h S I J e
Address /4"1- 32 fe V1 Vl oc K Ave h lAe
Telephone # 43 J -10 q q
Furnace Make & Model Te vn tJ S. J.a. Y"
ModelSize I\IT(; HOtS
"1S000
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Public
Multi-Family /
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
($39.5OJ -OCT 2 , 1m
$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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Applica~~s SignaUire J
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I ty 1<IifCfif1!f'Officli!'s Signature
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Date .
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I Date
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Job Add';.. /5 ~ 7 t 1;~t~m.v;~
J;leating Contractor ~~() .' >. f .
Name of Tester ~
Date IrJ 12-Y /9'7
Percent 0 9 . J
Percent CO2 C;.-S
Percent CO ()
Stack Temp. I {CJ c
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