HomeMy WebLinkAboutMechanical 99-1377
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3: 3?:>
OWNER
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI tf\ 0 EX/GRAD/FILLING
~ MECH RI ~V~ 0 COMPLAINT
o WATER HobKUP W ~ FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL @ );i( GASLlNE AIR TST
o MECH FINAL /0.
COMMENTS:
~ tiT
OJr
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/J~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
File
City
Contractor
Pink
Green
Yellow
1.
2.
3.
TYPE OF STRUCTURE
qq-/-J77
MC
Permit No.
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E
Prior Lake, MN 55372
Multi-Family
Other
Two-Family
Industrial
v
Single Family
Commercial
HEATING APPLICATION I PERMIT
2..::;J ___03 c
Public
uZZ-()
R/SD
PID#
Date
1% of job co: mum)
$99.50fG:;-, ; . '-,-' --.
$64.50' i ! \ .: ,
$39.5Q: L>'
$39.5~! j:~\ 1_ HOV_23. .'.:
$39.56U ' .
"iI/
. =----.;V"
Remember to add the State Surcharge on the bottom okfus ap~
Fee Schedule
Industrial, Commercial & Multi-Family
Residential
Residential
Residential
Residential
Residential
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
POINT RD
;t1/lVe;S
447-0401
15300 FISH POINT RD
FISH
Addition
LINK
15300
JIM
Site Address
Block
Owner's Name
Address
21
Lot
INC
Heating Contractor RON'S MECHANICAL
Address 12010 OLD BRICK YD RD
final inspection
heating permit includes one rough-in and one
inspections will be billed at $35.00 each
your
The price of
Additional
before build-
building permit number
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.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) -
.+err\
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
~
TYPE OF SYSTEM
Warm Air Plants
Gravity _
Mechanical _
Air Conditioning
Vent. System
445-8585
Furnace Make & Model
'L Q?,-1-CO
Telephone #
Size
Model
ObO
Conn. Load
Fuel lJt:;J Flue Size
Supply Openings _
Return Openings _
Input 35, rxD 0
utput
Edr,
Cfm.
CALL CITY HALL
I hereby apply for a mechanical systems permit and 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.
447-9850
Other Devices
ruction
TYPE OF WORK
V
\ \
Est. Comp. Date
r::/X). 00
Replacement
Alterations
Repair
-'11--'1 ~
Date
II
Building Permit #
QO
Est. Cost $
3fo--55/
Receipt #
.50
40.00
HEATING PERMIT FEE $
TOTAL PERMIT FEES $
$
STATE SURCHARGE