HomeMy WebLinkAboutMechanical 99-068
CITY OF PRIOR LAKE
INSPECTION NOTICE
1(C~EDtA.ED
ADDRESS
/(()t1 ,/r/~ /(J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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DATE TIME
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'/S-.PI,)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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9 S - Sf d
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
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Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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. ~r CITY OF PRIORLAKE'.- MC
16200 Eagle Crftek Av. S.E/~Permit No.
Priorlake,MN55372 .
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I,.p;~. FIle
TYPE OF STRUCTURE." , ..J--.' ~~lr8Ctor
. - - i'~'_'
. HEATING APPUCATlON I PERMIT., - ,
.. . .' ~'''''. 1
Date I /1..9N'~' 'PID ~ '2 s~ 14 t -Ocol'..-z.:.-
:Site Acldr~~ '/I/):y ylJ;'~(.I~ 7(:r011U/'~
Lot ../02- B~ . Addition 'AI~+ ..4d>O'., .
6wne~s Name V flUff), lit! PR1~ J <"
Address 16/JhC),{j O/LTHU mma 1(0 AJ[(/'
JI(J)1f}:r~ fB!
Heating Contractor
... Abctress .
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. Telephone ~ .-1- ?
':~.J:R.~el ~~,'>-, hPEOFSYSTEM
..". . --1L ~'.~' ~.;,...,. ~AirPlants,
Model SIze fIk"" Y', loC:9'~ ~,,;.u
. \7 --.- '"'-J ~""7
-... · -->. <r;;, 'i: e~. . ·
" '-4 ,j ~ n itlOmng ,: -
..., -:::> ::::> '
Flue Site: ~ ...- V. y~em
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HEATI~G OR 'POWER PLANT
Steam
Hot Water -
Radiation
SpecialDevices
,Conn. Load
Fuel
.;..~~pply Openings
'"
~
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~
'\'
,....'-..
::~~':B~turn Openings
Input
Output
'. Edr.'
Other Devices
.,'.:: Cfm.
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TYPE OF WORK
'i.
"',::' Alterations
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- ".' . . -.
{:R~pair
Replacement
..
New Construction
,
Est. Comp. Dat~' "
..~~. Cost $ '.
-~~~-,:'-:~>-":~:~~<_f::- ~'-:~.,~ , ' .
" ,:.:..tI~JlNG~ER.~r.r FEE $ .
~I:c'd"7".' ::.', ">.
":f:-~TATE.~URCHARGE $
_ <;i~~~~;t~~'~~.....- - "~:C';:" ..' ~:::~
,:.s;~':-IPTAt.PERMIT FEES $
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~3~:'";,,~;,~,_,, :"_"'4
~-:~.{{*i.~;~ ~:.
qs:- >1 Z-
Building Perm~ 'It
'~JX>.
';, .50"
<..10, 6rL'ReceiPt ~~j.~3~3(P4-
. . . - . \ -
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-
Single Family
Commercial
o . Two-Family
( Industrial
\
.\
. .
Multi-Family'
Other
Fee SChedule
. ......
Industrial, Commercial & Multi-:Family
'..... . -- -.'- - ~ ,-' - '. '."'"""
Residential, Heating & AC
~. Heatinq Only
Resideniial~ Fireplace -=-----
t::l:>IUtlllllal, M.OUIIIUm> 6. Alterations
Residential, AC Only
Remember to add the State Surcharge on the bottom of t!1is application.
The price of your heating perlJlifincludes one rough-in arict()ne final,inspection.
Additional inspections will be .billed at $35;00 each.
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House Heating Test Record mt.lsfbe submitted with buildingoermit number befo':ebuild-
ing certificate of occupancy will be issued.
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!:iEAI CALCULAT~ONS REQUIRED with number of supply arid return openings.listed per
room withCFM's'per opening.')New structures or additions send'floorplan with supply
and retum locations shown. HEAT LOSS CALCULATIONS; PAYMENTAND . _
APPUCATlbNS MAY BE MA1L.EDTOTHE CITY OF PRIORLAKE,16200EAGL.E'-~"'"
CREEK AVE. S.E. PRIOR LAKE; MN 55372.
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City Hal! business hours ~re S:a:m.- 4:30 p.m.
. .
.. . -
ALLWORK MUST BE1NSPECTED (ROUGH-IN AND FINAL)~ CALL CITY HALL.
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.:. _._ ..... 447-9850 ..' ._:;~~~~ ' ._
I hereby apply for a.mechl(nicalsystems permit andl acknoWledge thaNh~f:
information' above is complete and accurate; that the workWillbeinconformance-'
withJhe ordinances and ,c~9~s of the city and with the ,state building/mechlinical
codes; that this form does hot become a permit until -Signed by the BUILDING
OFFICIAL; that theworkwill be in accordance with the approved 'pla,n :,n the.
cas;y}wor~J .~ies review andappr~valofPlan~./~,~
< Vrr~alure .. . 1% ~fAeL.;, .
V 'SlliRfrng Offical'sFi.gnature I~I