HomeMy WebLinkAboutMechanical 99-618
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ 1:tJO
ADDRESS
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M.JNAJES"~J~ <sf:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ1-to,8
o FOOTING
o FOUNDATION W
o FRAMING ~
o INSULATION
g. 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
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: A... C_.~~.-.. ......
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)I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE MC . .
16200 Eagle Creek Av. S.E. Permit No. 9t7-(y/8
Prior Lake, MN 55372
Date
HEATING APPLICATION I PERMIT
"5--\Q~ct
PID # 2,Rj-r?O /- 087-0
\<'\\1"\..,\ o <.....{J\zL ~~ff SO
Site Address l..\C\\".,~
I?..Z-
Lot t:.3... Block I Z Addition
Owner's Name ~
f\ N\J)~d
, .
Address 44.Ln"3 ~\~'-- ~-t~ <;~E
Heating Contractor KSt}i \'L't\:O-k{f\t1 1 A-I G
. ~
Address \.d. L.t ~ \ Q..,~& ~\rM ~~ :Si ~ JJlLQ L
Telephone # 0 i 4-- ~ q - ('let))
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning gN(1-\.+-15!P.lL~~
I I - .;<.~-
Ven!. System I
HEAliNG OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn, Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Output
Edr.
Other Devices
Cfm,
Alterations
TYPE OF WORK
'X
New Construction
Replacement
Repair
Esl. Compo Date
Esl. Cost $ ~ \ ~()O. 00 Building Permit #
HEATING PERMIT FEE $ '5Y. -5' ()
STATE SURCHARGE $ .50
TOTAl. PERMIT FEES $ Y G. 0..0.- Receipt #
9tf-f//8
3c:;~'7
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I. rink
2. (llt.,.n
3, Yellow
File
Cily
ContrAclor
TYPE OF STRUCTURE,
Single Family
x
Mulli-Family
Other
Two-Family
Industrial
Commercial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
L-R;;idential, AC OniY---' ----
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 bollom 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 submilled with .buildinq u.ermi1 I1.I.!!Jlb!ll before build-
ing cerlificate of occupancy will be issued.
HEAT CALCULATIONS 1.1EQUIRED with number of supply and return openings listed per
room wilh CFM's per opening. New structures or additions send floor plan with supply
and relurn 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 =3re 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 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.
~to~i ::2.44!b-.
~~
S' - fMCI
Date
-S/25/cn
/ Ddle .
Building Offical's Signature