HomeMy WebLinkAboutMechanical 99-1186
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
IO-~-~c; //:~O
ADDRESS
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F/zl'i7tJ ~ 1-1 N
OWNER
CONTR.
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PERMIT NO. i::I 10 '~~I '17 JM-lJS, "rl.::.IIS'
PHONE NO.
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
~ FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: (~ (A.iS~ '--- 7iAi' ~p
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o WORK SATISFACTORr, PROCEED
~RRECT ACTION A~f I PROCEED
o CORRECT WO~~.....P6R REINSPECTION BEFORE COVERING
Inspector: b" Owner/Contr:
CAt::L 447-9850 FO~E1iIEXT INSPECTION 24 HOURS IN ADVANCE..
'-~ ~-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit
Prior Lake, MN 55372
HEATING APPLICATION I PERMI
Date qh.9/elQ PID# 2~-9ol-0OS-0
/ '
Site Address / ~~ / " P,i!? ~ NI:::-(.;( J I K- vV 1'(
Lot
Block
Addition
/-I~-nI WtJOO $P7S
Heating Contractor . L- PO ~P' '" I rM/eG'
Address ~ f'z.. Z- ~.s. o.,.L--.S-r_. ~4,ICt:?rJz..,b
r
Tel!ehone# ~rl - 777 - rp/S--
~t' _ J
.-EWmd "Make & Model n~ 77 A-/
Se... +2-
OWner's Name
Address
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
TYPE OF WORK
Alterations
Replacement X
.
S<,,;/zu"
TYPE OF SYSTEM
Warr
~~~ CLOSED DUE TO
~~n~ INACTIVITY 1/1/03
HEA1.___ _n rV'Y1::H PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
New Construction
,
Est. Cost $
Est. Comp. Date
Building Permit #
Repair
HEATING PERMIT FEE $ 39. ~
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ d-/J .. (/lJ
Receipt # .
3(p2-7 I
TYPE OF STRUCTURE,
I. Pink
2. Green
3. Yellow
File
City
Contractor
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
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
nice of your heating permit includes one rough-in and one final inspection.
onal inspections will be billed at $35.00 each.
~ Heating Test Record must be submitted with buildinq permit number before build-
rtificate of occupancy will be issued.
nr::AI 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; 't1at the work will be in accordance with the approved plan in the
se of all w~k which requires review and approval of plans.
,I
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. Datllf
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Building Offical's Signature