HomeMy WebLinkAboutMechanical 99-035
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \ Lt 5 44
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
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SCHEDULEl>
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CONTR.
PERMIT NO.
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o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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-J. WORK SATISFACTORY, PROCEED
/:J ~ORRECT ACTION AND PROCEED
o CORRECT WOR~L F071NSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
DATE TIME
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o EXC/GRAD/FILLlNG
o LKSHORENVETLAND
o COMPLAINT
o SEPTIC FINAL
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CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. en -o:ss--
Prior Lak~ MN 55372
Date
Site Address
a lel/J4-~
Lot Block Addition
Owner's Name ~ r &, '- tu, JqPutJ
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Address I <-/'s41{ c.,v"...tkf.g ~. S~-
Heating Contractor l~lJ{ "Ru-r /) , '.- C ~ /l -r-
Address ~S-Rv.....o.....,^ tI- LVI:1/'
Telephone # ( (;5/')
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity .
Mechanical
Air Conditioning
Vent. System.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
l{lput .
Edr.
Output
~
I
Cfm.
~. her DeYi~es. '
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TYPE OF WORK
Alterations
Repair
Est. Cost $ .
Replacement
Est. Comp. Date
Building Permit #
New Construction
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
C?1,50
.50
<..f O.W Receipt # :J[I.)~
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
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
$64.50
$39.50
$39.50
$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 buildina 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.
_ ~~~ .//hD/91
/ //FAp~rrdl!{~nature f Date
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\ B~ Offical's Signature Date