HomeMy WebLinkAboutMechanical 99-1388
CITY OF PRIOR LAKE
INSPECTION ~OTICE SCHEDULED
-1 ~
, /~ As/-.
ADDRESS
OWNER CONTR.
-
PHONE NO. PERMIT NO.
D FOOTING o PLUMBING RI ~ D EXIGRAD/FILLI
D FOUNDATION l2L MECH RI ~ D COMPLAINT
D FRAMING o WATER HO KUP ~ FIREPLACE RI
D INSULATION D SEWER HOOKUP D FIREPLACE FINAL
D FINAL o PLUMBING FINAL @ ~ GASLlNE AIR TST
D SITE INSPECTION o MECH FINAL D
COMMENTS:
~ T OJr
-
--.
..P ()Jf qi-/38r
----
A If~ Oft
e~'
c)bS
~ORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
File
City
Contractor
Pink
Green
Yellow
1.
2.
3.
TYPE OF STRUCTURE
Multi-Family
Other
1 % of jqb..cost.{$S~.50 minimum)
-. ,.-
$99.50 .
,0
$64.50'
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application
final inspection.
heating permit includes one rough-in and one
inspections will be billed at $35.00 each
The price of your
Additional
MC
Permit No.
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E
Prior Lake, MN 55372
1999
NOV 2 9
Public
Two-Family
Industrial, Commercial & Multi-Family
Residential
Residential
Residential
Residential
Residential
ndustrial
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
v
Single Family
Commercial
Fee Schedule
99 -/388
PERMIT
I
Address
building permit number before build-
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
HEAT QA 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)
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
TYPE OF SYSTEM
Warm Air Plants
Gravity _
Mechanical _
Air Conditioning
Vent. System
Heating
Model Size
-1>(
Conn. Load
Fuel ~Flue Size
Supply O~eRingS
Return Openings
Input ?O ,6\X) Output
Edr
CALL CITY HALL
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 th NALQI be in accordance with the approved plan in the
case of or equi~s r~view jlnd approval of plans.
447-9850
;~
Other Devices
New Construction
3(050
I
Receipt #
Building Permit #
3950
TYPE OF WORK
~
o
Comp. Date
Replacement
Est
$
$
HEATING PERMIT FEE $
STATE SURCHARGE
TOTAL PERMIT FEES
J
Cfm
Alterations
Cost $
Repair
Est.