HomeMy WebLinkAboutMechanical 99-0495
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS SIOI W~ww.\ st.
()
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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DATE TIME
5' ,14-';((
II =30
Cft-4'i5
o EXC/GRAD/FILLlNG
o LKSHORE/WETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
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Inspector: / Owner/Contr:
CALL "J-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE JO~UlREMIARE FOR YOUR PERSONAL HEALTH & SAFETYI
I-'
CITY OF PRI08.LAKE Me
16200 Eagi.i Creek Av. S.E. PermIt No. qq.... Lf}S
Prior Lake, MN 55372 -'
HEATlNG APP\..\CATION J PERMIT
Date. PiO# 25-r-'4-'" 002..-0
SiO M- :5101 G:I"'~ 'N A." 5\. B~
Lot . Z. . _ I -. 6ATE,WA\I CTJ2.. 1 sr ADQIJ.
OwneT'sName eA..~vJMI _LI."DD, ,.,rr-; CEN 1~l2.-
I ,~...
Address _ . c-MN /11 ~ ~ ioN-
Healing Contractor A\"(, ~h . ::r A-c..
Addr'" 't:J i; W '1,) 1"'- s-f' < L f
C~ -
Telephone' q; q,,- n 10
furnace Make & Madel ~/l..to-/ 'TYPE OF SYSTEM /'
n AI Wann Air P1ants V
Model Size ~ ~ Jj GraWy
CoM. ...... ,-h:w --' /.
Nl Conditioning "V
FUel.i:I.E flue Size ~ Vent system
supply openings I Lf HEAnNG oR. POWER pLANT
. Steam \ (
RetumOpenings g~."jJ ll-e.",,1~ HolWater ~ /
J J ~ 1 Radiation f'. .un
Inpul..JL:].! . Output. Special nevicer '\.. ---
Edr. - :_J
J..f. . - - (JIher ~ -
ctm. "J{ ':0 . '
. / 1YPEOFWO~
Alterations Y Replacement V New Construction
Repair Est. Comp. Date
Est. Cost I ~ Cl () a
HEATING PERMIT FEE $
BUildi~ Permit II
,1 () Iz.9
qq~ 495"
STATE SURCHARGE $ .50
TOTAlPERMlTfEES $--11'$ -' 35/38
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L, NQ~
L Pink
2.Grel:1l -
J. Yell"'" -
File
ell)'
Co1lJ[ll:tgc
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JYPE OF STRU~UR~
Single Family
Commercial
Two-Family _
Vlndustrial
~ Mu\tl-Family
. pubWc _ Olher
Fee Schedule
(1%Of job cost ($39.50 minimum) )
$99.50
$64.50
$39.50
$39.50
$39.50
Industrial. Commercial & Multi-Family
Residential, Healing & AC
Res\deTltial, Heating Onl~
Resldentia', Gas Fireplace
Residential, Addilions & AlteratioC\8
Residential. AC Only
Remember to add ltle S!ate surcharge on lhe bottom of thi6 application.
The price of yOIJf heating permit includes one rough-in and one linal inspecl.ion.
Mditional inspections will be billed at $35.00 each.
House Healing Test Record must be submitted wilh bWISIIDll ~ DWIlU1 before build-
ing certificate of occupancy will be issued.
~ yAlCULATlONS m:;.OUIRED. with number of suppiy and. relurn openings listed per
room with CFM's per opening. New structures or additions send t100r plan with supply
and return locationS shoWn. HEAT lOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PAIOR LAKE, 16200 EAGlE
CREEK AVE. S.E. PRIOR tAKE. MN 55372.
City H. ~~;~ ~urs-ar8'8 a.m. . 4;30"p:m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND fiNAL) - CALl. clTY HALL
441-9850
t hereby apply for a mechanical systems permit and I acknowledge that the
intormation above is complete and accurate: that the work will be in contOlmance
with !he ordinances and codes of the city and with the slate building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; ipat the work will be in accordance with the approved plan in the
case of an)l'ork which requires review and approval of plans.
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Building OJ'tal's Signature
1- 30-1J
Date
S~-5" --9/
Date
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
A,'r ~ck.
S- L/- 91
--------
.1 lAc .
The Building, Engineering, and Planning Departments have reviewed the building permiJ
application for construction activity which is proposed at:
5/01 G(.\h~ w'"'-'d- S\-. rnl.i'" A~. J;V\V1 i'U
Accepted Accepted With Corrections ~
Denied () tl (J
Reviewed By: .~ 0 1fJ~ A .~
J
Date:
.~-S--77
Comments:
I. )t"Dvfck \lV\C<.v\V\:;:\l..M]' IAs\.d,~'cAA S.eJ lip 'au rctR
6.1- ct II ( lA '> p"cL/"iY\- <;;.. + tJ S' ~ LA) 1 At) C' 1= M "r ~~ a (',
? ~ A It lMatet-l'uJ~ i ~~ ~~ J--.e.t)\-v\. cu' t-- ~ (~
~ ~~ ~ 0 \J'-ml\ C Cfb~ 1.?lf3 t~ ~l--t ('!)t- Lv\.o...et- a II
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"