HomeMy WebLinkAboutMechanical 99-1334
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
1'/'/334
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
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o EXlGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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,r7WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 1-7-D;; Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE MC ..? 2 A~
16200 Eagle Creek Av. S.E. Permit No. C-Fl- /:/ ~r
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date ,\ - ~ - q ~ PID # -2 ~;; - /ZS - CZ 1- 0
SiteAddress 1 ~()\~ G(LtCC~\ (')~,"c.S- "'\~f""\..\-
Lot Z / Block Addition El/f:GEN UrJ'c.$
Owner's Name 'l--. (- . "'~ e. \"\ \. \ ~ '- \t....~ ~
Address \ ~ D \ ~ C -::>~ f-~_N () ^ \~ ~ \' \LA I L
Heating Contractor ~S\V~~'\A.L \-\f;;;;P\'\\ ~G. ~ A,L
Address _t~\~ f.. L..\ \ ST" ~)\ S u \" (-;;:- ~
6 \ 2.-i2.L\-\ <6~ ~
Telephone #
Furnace Make & Model N't G (V\, D "15
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size RM ~\I"\ ~
Conn. Load
Fuel N ~, . ~ t\ ~Flue Size
Supply Openings
Return Openings
Input h.. 0 0 ~ Output
Edr.
Cfm.
Other Devices
TYPE OF WORK
Alterations
. Replacement X
New Construction
Repair . Est. Comp. Date
Est. Cost $ -21") '15 - 0 0 Building Permit #
HEATING PERMIT FEE $---3 q . 50
STATE SURCHARGE $_ .50
TOTAL PERMIT FEES $ '-f 0 -00
qCI- /334-
--? C":j ~7 .
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Receipt # .
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
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16;
Contractor
Single Family .
Commercial
~
Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family 1 % of job cost ($39'5~\~
Residential, Heating & AC $99.50 _~--;::;~~~~
Residential, Heating Only $64.59:'<-(;~",\~
Residential, Gas Fireplace . \ ",,?_ ':;-:' ....-
ResidenUal, Add"oos & Alleralions ~ ~ \ 'U-
Residential, AC Only $39.50.' \0~
\\
Remember 10 add Ihe Slate Surcharge on Ihe bottom 01 Ihi~\ ica,~
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; tt:'... at the work will be i~( ccordance with the approved plan in the
case of all v~ rk which req~rf/s r~vVew and approval of plans.
. -Ccl .. Q qc.
..,. ... 11-0 - -I
P ~plif.tVt Si. Date
I~~ ~~. //~5/c;9
Building Offical's Signature / Date