HomeMy WebLinkAboutMechanical 99-371
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS l~ 73 F.ve..ha.wks
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'If-hi
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI AI
~MECHANICAL ~t"
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT AC~ AND PROCEED
o CORRECT WcJRKI tALL FOR REINSPECTION BEFORE COVERING
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Inspector: I \ \ / Owner/Contr:
CALL 44~-42~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR Y~UR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qc;- 3'7 /
Prior Lake, MN 55372 -
HEATING APPLICATION I PERMIT
Date -'~- 3 \ - Cf1
Site-Addre~ I ~ P 5 7 ~
PID# z.S"'Z75- 0 1'2.,- 0
FiVfJrrC\w ks Dy.
Lot 12- Block J Addition pelof2..\/ IF.,V\I 2NO ADDN.
Owner'sName tv1 iclJeI JC/ PJD~jvJ ich
Address ILD5/3 Fi \J-'CJ HtA W(s Dv,
Heating Contractor ~ llrs SD.uJh~\dll Iii;;}. 'f"" A-/G
Address .1~7:~~ ~X\Y)r' I( /Jnj.p).
Telephone# 431-70q~
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning~"'Ma to(. I ~
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input.
Edr.
Cfm.
Output.
Other Devices
TYPE OF WORK
Alterations
)( . Replacement
New Construction
Repair
l{- :;-99
qq<371
Est. Cost $
. Est. Comp. Date
1'75"0 cg... Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
39.00
.50
Lf 0 . (f() Receipt #
350~~
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)
$99.50
$64.50
$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 building 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.
~I'~. 3-YI-7'7
, ~liC'Sign<ltJ:~ Date
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Building Offical's Si~il'a re ' Dete