HomeMy WebLinkAboutMechanical 99-726
SCHEDULED ~;I~}f~
P/V6 H/tWKS
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SewER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
COMMIE'NTS:
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DATE TIME.
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o EXC/GRAD/FILLlNG
o LKSHORE/WETLAND
o COMPLAINT
o SEPTIC FINAL
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o CORRECT WOR_ , CA - " "rINSPECTION BEFORE COVERING
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Inspector: , Owner/Contr:
CALL 447~230 FOR tHE NEX~ INSPECTION 24 HOURS IN ADVANCE.
CODE REily.. ARE FOR YOUR PERSONAL HEALTH" SAFETY!
HEATING APPLICATION I PERMIT
(g'ID.q~ PID# z~-z7S - O/q-O
16587 FIVE HAWKS AV PUL)
/ Addition PI< (Ote. V /6 vV 2fIO
LARRY MECHURA 447-2168
Date
Site Address
Lot /9 Block
Owner's Name
Address
Heating Contractor
Address
12010
Telephone #
Furnace Make & Model
Model Size
Conn. Load
Fuel
Supply Openings
Return Openings
Input.
Edr.
Cfm.
Alterations
Repair
Est. Cost $
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. tp-7Ze::,
Prior Lake, MN 55372
16587
FIVE HAWKS AV
RaNts MECHANICAL,
OLD BRICK YARD ROAD
INC.
(612)445-8585
Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning \ 'b..m-n Ac....
Vent. System.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Output
Other Devices
TYPE OF WORK
~
Replacement
New Construction
Est. Comp. Date
Building Permit #
9Cl-720
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
1,Q . fjt)
.50
~D. CO Receipt # 35 LftI1
I. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE.
Single Family _
Commercial
'f\
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
$39.50
$39.50
4
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 buildina 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.
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Date
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Date
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Building Offical's Signature