HomeMy WebLinkAboutMechanical 99-1378
CITY Or! PRIOR LAKE
INSPECTION NOTICE
DATE
TIME
SCHEDULED
.1-3-X
.H:~
ADDRESS
\ S'4 J fTs~ ~ 12.0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qg - }378
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
A-~E EPLACE RI
f'"l FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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Inspector: , Owner/Contr:
CALL \"7-9850 JOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. tJr-/3?f3
Prior Lake, MN 55372
,.
HEATING APPLICATION I PERMIT
Date~ PID# Z5-/~5- 018-0
Site Address /5/~/ F/Srf PO/All /2.0 /</60
Lot /8 Block I Addition. 517/1 /II c::; IG I . LA
Owner's Name JQ.SO() F; f> r
Address 15141 F/<f)h fb:t1+ ~~
Heating Contractor ~1e Fier
Address.;l~ f(effi ii\Cibn J5Jtid. l.aku:tlt' ;1#
'-' .
Telephone # &;1.1- ~1>5-(nh09:
,c: P. J '.......J. J c.)
l!l.'-r-""- Make & Model nC't(J-n-q D ci--~PE OF SYSTEM
J Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
Alterations
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
TYPE OF WORK
Replacement
New Construction
Est. Comp. Date
Building Permit #
9C;- /---3;715,
3q.~O
.50
L/ C. 00 Receipt #
3~552-
1. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family
Commercial
Two-Family
Industrial
. Multi-Family
Public
Other
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)
=:~~.I ~(~L~_OW_~..J.l ,\1
$39.5~\i! ( :':
$39.50 i I : ' NOV 2 3 1999
$39.501 '\\
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Remember to add the State Surcharge on the bottom of t~-applicatiorr.d-
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 huilding oermit 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.
~~1~~ " '. 11/1111 a
g._i','..; I ///24/11
, ~"'Cfirf'g Ofiitalt~ij'JnatUfel'~ . Date'
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