HomeMy WebLinkAboutMechanical 99-1409
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \ 5800
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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o COMPLAINT
~IREPLACE RI
IREPLACE FINAL
~ 0 GASLINE AIR TST
TIME
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
HEATING APPLICATION / PERMIT
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Isar?O Fre'mOuf .IJUf. I J1J1Lh
2.. Addition ISLAN.o V'1e::w '1-71/ Industrial, Commercial & Multi-Family 1% of job cost ($39,50 minimum)
YJ A M ,A k ~ J e.. J< I 'PI ~ Res~dent~al, Heat~ng & AC $99.50
~ . (J )/I I J Residential, Heating Only $64.50
Address )~B 0 () F y fJ }1fOIA f lJ ILt - /!II/~ Residential, Gas Fireplace $39.50
r.' A '" ~ (J, /4-1L I iJ I , J Residential, Additions & Alterations $39.50
Heating Contractor ~C.I L- ., I/f~ l'li ('~lle Residential, AC Only $39.50
5~~() W, f(-W& / 1Jvrt1\v,I/!I/II~
I '" I"'. 1>'h..Il 0;"'1 ,-TJ ~~emember to add the State Surcharge on the bottom of this application.
Telephone # --'Jl./...r - {J..2.!/ - 1~ !If
F~~~~~8Elel 1J Bet~/la1-urP()t.2~ TYPE OF SYSTEM
n II d li--rA Warm Air Plants
Model Size UJI 7;'}' 9U$ 'fJ0 Gravity .
Mechanical
Conn. Load A' Co d" .
II J % If Ir n Itlonlng
Fuel -I V G-Flue Size ~ ~ A~Jv~{ent. System
Supply Openings HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Date --f).er:.. _
Site Address
Lot 3 Block
Owner's Name
Address
CITY OF PRIOR LAKE MC
16200 Eagle C~ek Av. S.E. Permit No.
Prior Lake, MN 55372
J~
99-11fOJ
Return Openings
Input ~~ 0 00- Output.
Edr.
Cfm.
Alterations
Repair
Est. Cost $ --Joor)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Other Devices
TYPE OF WORK
Replacement.
New Construction
. \.
~ ./~ft8{)
9'f-/t/09
/
Est. Comp. Date
Building Permit # .
39.~()
.50
46.00 Receipt# 3'581
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
v
Multi-Family
Two-Family
Commercial
Industrial
Public
Other
Fee Schedule
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 buildinq permit number before build-
ing certificate of occupancy will be issued.
HEAT ,CALCULATIONS REOUIREQ 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 O~'k which ,equl,es ..view and app,"val of plans. I
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Building Officaf's S:", ...tIre -- - , te'