HomeMy WebLinkAboutMechanical 99-1365
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
JjUO_F~
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:
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J';J:J DATE
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/ a ~--rCf
ft.~
TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI /i)
lit FIREPLACE FINAL \(J/
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
1. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
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Two-Family
Industrial
Public
Multi-Family
Other
HEATING APPLICATION I PERMIT
Date fl-I).--.cp) PID' _ZS -03Q - 001- 0_
Site Address ~}Y) U.Q ~ Q A_,
Lot I Block Addition HlAV6S 1<..1 '5D-
Owner's Name. \ / lfiD y W~ HoPf-.. sl'r () YYl_ ~
Address j ~ / I 0 ~/:<'1.... ~ A4.1\ fR cA,
--1 ' ~H?( I I
Heating Contracto~ I Y f\. \)...Jf.-f M h 1 V
Address 52;16Sh \A), - ~\J 15 J Bu.vn:;vLUt
Telephone# W?r~~1% (-
Furnace Make & MOde~./a1.Ja..:hY TYPE OF SYSTEM
. ~V l -;z..., 0 Warm Air Plants
Model Size Y ../ Gravity
Mechanical
Air Conditioning
Vent. System.
Conn. Load
Fuel Y\C/
Supply ope~ngs
Flue Size
ifti
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Return Openings
Input ~,LD)U .output I
.... I
Edr.
Other Devices
Cfm.
Alterations
/
TYPE OF WORK
Replacement New Construction
Repair Est. Comp. Date
Est. Cost $ ~bWIQ n Building Permit #
HEATING PERMIT FEE $
Clq-/30~
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
L) O,ex)
Receipt #
3(,54-1
Single Family .
Commercial
Fee Schedule
1 % fu ~~~~ 50 rninimumL
$99'~~11 ~~. ,,~.~. ~ ~f! [?, ..-
$64.50 i I .. ,
"(I i
$39.50, NOV I 7
$39.50 \ 1999
$39.5li.\ L-..~.,~..
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
97.331
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
.o~ICIAL; .. at t ork w be in accordance with the approved plan in the
Crr~' ~ork ~chTu~~approval of p:ans
f I p~i~S~l)atUre '. ~fCl
.\/." II/;t:tlqq
..' v elJilding Offical's Signature ..:.~~ Date /