HomeMy WebLinkAboutMechanical 99-0186
DATE TIME
CITY OF PRIOR LAKE ~e/19
INSPECTION NOTICE SCHEDULED /. :30
ADDRESS 41591 01/ e;}eLOO f:::- D/2...
OWNER CONTR.
PHONE NO. PERMIT NO. tf4' - / 8Cr,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINA~ e.. GASI,.INE AIR TST
o MECH FINAL ~\.J!./ ~ _~/i!- F/N~
COMMENTS:
~- ~~. 4/1.. f")- 13-99
.~~ ~-r-~"
. ~L< A '- -'" ~ .. '-~.#r~'- q1.-
/ ~k~
'1.;-/0 '} 3
.
/'
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
I .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE MC .9C;-/gr;
16200 Eagle Creek Av. S.E. Permit Nt' r
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date ~ - I (p -q q PID #I ;) 5"'- d.9' cf -DreG - ()
L/ 5'"'9 lOVer \ ()ol(. Or e:;.6 {( /
. \ l' 1- c: J I ~ 'lttC! 4 I.J.
Addition {A.-OX Cl'C~'f'. (C'fr:t.'ff'::~.:;X'~ /'tM.P1 .
Owner's Name ~" J- frr.uJ ~.\c1...,
J
? If /J1 $..".
Heating Contractor, tSs VI{ It', J4etxt'IO( J- Prl L
.J .
Address J;)..LlaJ {LMl't T-~ I.titd fni S
ertL/-COo -S-
Site Address
Lot ( Block q
Address
Telephone #I
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity ,
Mechanical .
Air CDnditioning (j(L ';U /
Vent. System. f dl "t79v
HEA TING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
, Fuel
Flue Size
Supply Openings
Return Openings
InpL"1
Output
Edr.
Other Devices
Cfm.
TYPE OF WORK
Alterations
/ New Construction
Replacement
Repair
Est. Cost $
Est. Compo Date
Building Permit #I
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
-sq. ~ Q.
.50
Lf11.o()
ReceIpt #I .
,:jLl193
TYPE OF STRUCTURE
I. Pint.,
2. (;,("('n
3. Yellow
"ile
Cily
ContrActor
1'-/ to ~7
Single Family
~
Multi-Family
Other
Two-Family .
Commercial
Industrial
Public
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 bollom of this application.
The price of your healing permit includes one rough-in and one final inspeclion.
Additional inspections will be billed at $35.00 each.
House Heating Tesl Record must be submilled with building permi~ l1umbe[ before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS HEQUIREQ wilh 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. PRlon LAKE, MN 55372.
City Hall business hours ::ire 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FfNAL) - 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.
-:?-/~-99
Date
~- ff -99
Date