HomeMy WebLinkAboutMechanical 99-1420
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR 1ST
o
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Inspectar: / Owner/Contr:
CAJ 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~ REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFE~!
INSNOTl
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CITY OF PRIOR LAKE MC
16200 Eagte Creek Av. S.E. Permit No. !l!i:.J J./ z.o
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date PID# z5-/3~'-063-0
Site Address 14676 GLENDALE AV SE 1e/5.0
Lot ....3.- Block I Addition O,q i::LA NO 13€/lcrl Z NO
Owner's Name ELMER POTTER 447-6488
Address 14676 GLENDALE AV SE
Heating Contractor RON'S MECHANICAL, INC.
Address
12010 OLD BRICK YARD RD
SHAKO PEE
Telephone # 612 /44 5 - 8 5 8 5
Furnace Make & Mode!<UUO
Model Size _ ( L/9 fJ /1 / (J 7/17Y7 1.1[
55379
Conn. Load
Fuel IJ &' Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Supply Openings
Return Openings
Input/Qf~, oW Output <i'O/OOO
Edr.
Other Devices
Cfm.
Alterations
TYPE OF 7'
, Replacement . New Construction
Repair
. Est. Comp. Date
Est. Cost $ / ~ 00 ' oV Building Permit #
HEATING PERMIT FEE $ 3q 50
qC;-/L/ZO
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
:+0 . 00
Receipt #
"3 ~ bC.i '-f
I. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family
Commercial
y
r -
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 U tl..l J 6 1999
$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 building permit 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.
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