HomeMy WebLinkAboutMechanical 99-080
ADDRESS
/(0104-
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LA \(,551 DE A\/ 6 .
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2-:00
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHORENVETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE ~
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I
PECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE '
16200 Eagle Creek Av. S.E. Permit No. !lq - DO~
Prior Lake, MN 55372 ~E. Cf9-C011
HEATING APPLICATION I PERMIT
PID" 'L ~ ~ eP1 ~ ~O'Z-?...:--Q)
l n..QD.cLcLo__ ~
Date ~ / [;). /q q
, ,
Site Address ~ LJ.
Lot Block Addition
Owner's Name ~ ""\- c:.J0.-C;\. ~Q cr~
Address \L? \ LD L\ ~ ~ct_Q.. A-u-.e.
Heating Contractor ~ - ~.1).....(\...
Address 14j4S So~K.ob~-\-\r\
Telephone # ~\) LJa3-/IYY
Furnace Make & Model ~ X-. TYPE OF SYSTEM
f7J... r")/ J I I I 0 Warm Air Plants
Model Size ~o~ ~ ..., ~ 0 Gravity
Mechanical
Air Conditioning
Vent. Systam
HEAnNG OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Conn. Load
Fuel W .( ;a5Flue Size
5'1
Supply Openings
Return Openings
Input !.CO./OCO Output ~
Edr.
Other Devices
Cfm.
Aherations
TYPE OF WORK
Replacement ~New Construction
Repair. Est. Comp. Date
'? <I I f 00 f'Yl1 11 kS r e bct.-I- €'s
Est. Cost $ ~ D -.. 5" . Building Permit #
~
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
~-:s Cf, 50
.50
YO .0D Receipt#
34389
\
TYPE OF STRUCTURE
I. Pink
2. Ore
3. Yell.
File
City
ConlrllClOl
Single Family
Commercial
~
Two-Family
Multi-Family
Public _ Other
Industrial
Fee Schedule
Industrial, Commercial & Multi.Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Adc1itions & 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 boUom 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 submlUed with building QmJIlit IlY.IIlbw: before build-
ing certificate of occupancy will be issued.
l:tEAI CALCULATIONS BEQUIRED 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 'ocations 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
447-4230
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; that this form does not become a permit until signed by the BUILD'NG
OFFICIAL; that the work will be in accordance with the approved plan in the
case of alLwork whichJ8(lt]jres review and approval of plans.
d/Q;.jqC(
2 /~17
'Date
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