HomeMy WebLinkAboutMechanical 99-1224
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED /rVf7 ~:~O
,
.
5290 ;:::;eo..) / p/
CONTR.
PERMIT NO. Q9-/2Z4-
ADDRESS
OWNER
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
/5\\ 0 COMPLAINT
~ FIREPLACE RI
~ FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~ ~ -I~ ~~-crL
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W01' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ t Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
CITY OF PRlpR LAKE MC
16200 Eagle CreekAv. S.E. Permit No. 99-/224-
Prior ~ei MN 55372
1. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
/
Single Family .
Commercial
Multi-Family
Public Other
Two-Family
Industrial
Date
HEATING APPLICATION I PERMIT
1)",+. ?fIt ?f/ PID# 25-DhO- 004--0
5~ C{j) -Fr-()~i- P~/Vl + ~ eVer e /Z/SD
Lot Block Addition TeF/CT c,- 0 I!!L5 #2.9 Industrial, Commercial & Multi-Family 1% of job cost ($39.50 minimum)
fA 1 C'~ ..L. Residential, Heating & AC $99.50
Owner's Name WC'HI' mr.t11 ~. r I R 'd t' I H t' 0 I $6450
. eSI en la , ea Ing n y .
Address. 5:1. Cf....O F Yo \'.~ f!.. ('V' d-e.. Residential, Gas Fireplace $39.50
. t-, \. II (l '\ / /11{' ~H.' \ /J Residential, Additions & Alterations $39.50
Heating Contractor _r- \ Y" P 'UJI.. (J ~ Y' VI ~ t / rt- I e V' t'\1'tJL e- Residential, AC Only $39.50
Address 7<:"~~ u/. llli(J /3 &ttJ1~'J/~_,ftN.
/;, / ~ r-,_ /""""') r'l n _0 .5.:7"~? Remember to add the State Surcharge on the bottom of this application.
Telephone # _ (b { rl - /~4' I /-- ( / '/r-. ~
Furnace Make & Mo:el i!e-a--f:"'ifJ-.-o.-b . ~P; OF SYSTEM
l'..L -Il1f:J.. /1U /YI./ J. Warm Air Plants
Model Size ~ T -:A< ~ ~ t.D..J Gravity
Mechanical
Air Conditioning
Vent. System
Site Address
Conn. Load
Fuel-1J1....G"
Supply Openings
Return Openings
Input (t.oooo
Edr.
Cfm.
Alterations
Repair
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.
Flue Size
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.
Output.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
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
Other Devices
TYPE OF WORK
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 1J;;::;;JftZ:;: :pprova' of P';t1 / 1 /~??
v A~.R'.., l' .... ~.M. r r . "Dafe - {
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Bvfldirlg Offical's Signature . l1ate '
F
Replacement
New Construction
. Est. Comp. Date
99-/224-
Est. Cost $ /cJ 0 (J
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit #
31. su
.50
L/ c). CJ () Receipt # ..:30 404--