HomeMy WebLinkAboutMechanical 99-0766
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CITY OF PRIOR LAKE 4.:ac
INSPECTION NOTICE SCHEDut;ED
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ADDRESS \ boq 5 I2c
OWNER CONTR.
PHONE NO. PERMIT NO. 1'1-1(,(0
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HOOKUP
o FINAL UMBING FINAL
o SITE INSPECTION A ~CH FINAL
COMMENTS: A. 6
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CTORY, PROCEED
D PROCEED
CACi.. FOR REINSPECTION BEFORE COVERING
Inspectlflr: "'"'--V Owner/Contr:
CALL 447-98SJFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
colm REQUltMENTS ARE FOR YOUR PERSONAL HEALTH & SAFE~!
~. lNSNOTl
HEATING APPLICATION I PERMIT
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. 1609.5 NORTHWOOD RD
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Date
Site Address
Lot qo Block
CITY OF PRIQR LAKE Me . _
16200 Eag1e Creek Av. S.E. Permit No. qCf 7 tc0
Prior Lake, MN 55372
Address
Owner's Name PAULA FLOM
16095 NORTHWOOD RD
440-2444
Heating Contractor RON'S MECHANICAL. INC.
Address 12010 OLD BRICK YARD ROAD
Telephone #
Furnace Make & Model
Model Size
Conn. Load
Fuel
Supply Openings
Return Openings
Input.
Edr.
Cfm.
Alterations
Repair
(612)445-8585
Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning :;J ttm te u u,D
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Output.
Other Devices
TYPE OF WORK
A
Replacement.
New Construction
_ Est. Comp. Date
((J -9~
qq ~7h!c
Est. Cost $. \500
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit #
2J:l.5D
.50
4:f).d> Receipt# 3S53 Y
TYPE OF STRUCTUR~
1. Pink
2. Green
3. Yellow
File /
City
COnlra~'Or
Single Family
Commercial
Y..
,
Multi-Family .
Two-Family
Industrial
Public
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & 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 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 be submitted with buildinq 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; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
,
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Date
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Date