HomeMy WebLinkAboutMechanical 99-1211
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J~ 47s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION P ~ECH FINAL
COMMENTS: /'), 1:.- .
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({ (0 ~ f-fLCr
DATE TIME
19 - /2 I (
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI fj
)(..FIREPLACE FINAL ft5/
o GASLlNE AIR TST
o
"1
~RK SATISFACTORY, PROCEED
o CORRECT ACTIOw. D PROCEED
o CORRE~C~' A. FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
HEATING APPLICATION I PERMIT
Date ~(J Li/.1!l.9 PID # 25-623 - 007- 0
I
Site Address / (l!/2/5' F Y'fA h rJ {' VI. ~}, ,)' G"'
Lot -; Block I Addition BOKGf::t2DIN<4 2 ~
J....erJ Fer1t
Address. ,M?..F Fra h k I ,- h kJ 5 E
Healing Contractor F. 't e S It~~ ~fJ~/~ f' / If II t'e& Iri"'('fJ jl J €-
Address ~~.s- () . ..\ A 1"'3
[dtf< 8 tlt)-()?d .
Furnace Make & Model ~ TYP;OF SYSTEM
C- J ,,- Jt'" Y) ('" If\. IJ'/ Warm Air Plants
Model Size ~ /.7 ~ V'lf~eraceGravity
Conn. Load Mechanical
JA J ,- it' If Air Conditioning
Fuel IV {r- Flue Size g Is- '{)'FhC~ Vent. System,
I ~
(till J HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Owner's Name
Telephone #
Supply Openings
CITY OF PRIOR LAKE MC
16200 Eagle Cree~ Av. S.E. Permit No. 99-/2-/ I
Prior Lake, MN 55372
Return Openings
Input ~JJf) L Output
Edr.
Cfm. I If, ()
Alterations
Repair
Est. Cost $
Other Devices
TYPE OF WORK
, Replacement
New Construction
Est. Comp. Date
Building Permit #
qq- / 21/
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
31.50
.50
4o.m Receipt # , ~Z87
TYPE OF STRUCTURE
L Pink
2, Green
3. Yellow
File
City
Contractor
Single Family
Commercial
x
Two-Family
Industrial
Public
Multi-Family
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
~
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes on~nd ~fina~ection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina oermit number before build-
ing certificate of occupancy will be issued.
HEAT ~ULATIONS 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 buildinglmechanical
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]A wo::0 }!f;;Z~ approval of PI;; / t !?
~Pli '. Signat'Y.. r:e..... ,1..1 I I ~te f
. '/1// rz'
, ' i~~~ /O/4/qq'
. '- Building Offical's Signature -- , Dlrte I