HomeMy WebLinkAboutMechanical 99-0346
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUI:..ED
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ADDRESS 5940
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FIILING
o LKSHORENVETLAND
o COMPLAINT
A .'}SEPTIC FINAL
~ FIREPLACE
o
COMMENTS:
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ECTION BEFORE COVERING
Inspector: / I Owner/Contr:
CALL ~-4230 FOR JHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. q 4- 34-0
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date 4-/,3/qc; PID# 2.5-3!(P-()2-l.-0
~ 0/1 to./ ..i
Site Address 5' TT-'O t.)e(.oL6 pc.... s. 6.
Lot '1 Block 2- Addition (!,/lleOINAt- f<IOq6 3~o /TOoAl.
OWner's Name -ro1Y'l RO$"'C"~to..;
Sq~ OK.IOL.6 Pl-/Jt!.6 .s. 6.
.J OthjDeVices. .'. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
(',...., ~."") 4E \J~ 'FVl~ r= / F IN \.'SJ1 447-9850
r / / .
TYPE OF WORK (!... H-t6l!/tl!~5 ({l./leAiJ Y I hereby apply for a mechanical systems permit and I acknowledge that the
.I rrclLc ) information above is complete and accurate; that the work will be in conformance
Replacement New Constr n 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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l!>ate
Address
Heating Contractor
Address
Telephone #
~'p
lnage..Make & Model (be.. De.. GQ
Model Size S ~ (I
Conn. Load
Fuel_cDlAS
I'
Flue Size .~
t'\ i fLeU A) e rJl
-4'" /.
Supply Openings
Return Openings
Input 3.!:1..cPO Output
l
:<Oi()OC
,
Edr.
Cfm.
ADD d(J
Alterations 'l "\f..
Repair . I
Est. Cost I' -:7 6 C)
,
Est. Comp. Date
-
i-J.el1T I LtA"1~
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System .
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Building Permit #
q~-34-~
3CJ. 50
.50
40.00
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Receipt # .
"3SoI-:S
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family .
Commercial
y
,
Two-Family
Industrial
Public
Multi-Family
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
~
$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.