HomeMy WebLinkAboutMechanical 99-1358
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
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5.342- FROST f-/ /.
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
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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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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6flORK SATIS CRY, PROCEED
o :ORRECT A TI A PROCt=ED
o ~ECT RK, CALL OwkEINSPECTION BEFORE COVERING
Inspector:1 --- \ Owner/Contr:
CJ..L 447.9850 FOR THb NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS/ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
CITY OF PRIOR LAKE Me
16200 Eagle- Creek Av. S.E. Permit No. qq - / 35e
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date / / -4 - 9 cy PID # 2 S -~D - 001- 0
Site Address 5 1, '1:< ,- (Go Jf po I t-/-r C IRe. <- ~ J'6
Lot Block Addition 1'1t:::../~..> ~O lSoUlIJoS
Owner's Name LA) A'I tJ 6 R... 0 L S-iJJJ
..> A- HI!.
~.A-/Yl6
Address
Heating Contractor
Address
Telephone #
Furnace Make & Model CI/'i2Jek!
Model Size 5~;~V fio -;!!lr
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Output
Cfm.
Alterations
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
TYPE OF WORK
. Replacement
. Est. Comp. Date
Building Permit #
?:>q..~Q.
.50
40A-
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
New Construction
~9-1358
Receipt # .
3~ 53 >
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
'i
{
Multi-Family
Other
Two-Family
Industrial
Public
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
r ~.50--::>
$39.50
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 buildinq oermit 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.
/1-/9-99
- Date r
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