HomeMy WebLinkAboutMechanical 99-1216
DATE TIME
CITY OF PRIOR LAKE
INSPECTJON NOTICE
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SCHEDULED
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ADDRESS -.!:1i3I f:rroJr. ~ ~
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
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
~MPLAINT
FIREPLACE RI
~ 0 FIREPLACE FINAL
l.C) }( GAS LINE AIR TST
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COMMENTS:@ ('jJ~ ~ ~ n'.,;,~,
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO". CALL FOR REINSPECTION BEFORE COVERING
Inspector: 0)-. Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
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CITY OF PRIOR LAKE
Date
Site Address
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family . ~
Commercial
Two-Family
Industrial
Multi-Family
Public Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
F ~~ Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50
( $39.50::>
$39.50
$39.50
Address
Model Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Conn. Load
Fuel /<I,q-r '- Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Other Devices
Cfm.
TYPE OF WORK
Alterations
Repair
Replacement .
Est. Comp. Date
Building Permit #
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New Construction
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
3 '9. 5V
.50
4-0. 0 () Receipt #
3'~9 c/
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 bf'l 0..... . )ermit number before build-
ing certificate of OCr-I ,..-- E l' 0 0 ~
JiEAI CALCUI CLOSED DD 0/30/- :I return openings listed per
room with CFM rrl'" TI1'Y 0 ld floor plan with supply
and retum loca\ '0...1 AC 1 " YMENT AND
APPLICATIONS l.l ~ , . I1luH LAKE, 16200 EAGLE
CREEK AVE. S.~ . . oJ.J03/2.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
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; t~at 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
caseJ>lell work wh;Ch reqUir~ end approval of plans.
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JJ!jn~~~ - / Date
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C UI Cling Offical's Signature / Date '