HomeMy WebLinkAboutMechanical 99-0752
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4(D ?arb<9l9c/
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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TIME
4d90
~ -7bd.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
Ji5 FIREPLACE FINAL
JZf GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~OI~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: h t J./JJM Owner/Contr:
CALL ~7-98;O FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qtJ-752-
Prior Lake, MN 55372
_ HEATING APPLICATION I PERMIT
Dale Co-I'!; -t:;q PIO". 25-3/7- 02..4--D
Sile Address lfJeJo ~c.t I? I
lot .3 Block A- Addition WOODt<../ D<::jE. ,~I...fj IbS 3go
Owner's Name JiJF 1Y1A..th IJElf
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Address
HealingConlraclor ALLIED FIRESIDE dba FIRESIDE CORNER
55113
Address 2700 N. FAIRVIEW. ROSEVILLE, MN
Telephone # 651- 633 - 2 5 61
FIREPLACE
~p Make & Model ~ ~
Model Siz~
L<:;J .., ~
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning .
Venl. System
Conn. load
FUBI,tJ. lOA6 FlUB Size
Supply Openings _
Return Openings
HEATlNG OR POWER PLANT
Sleam
Hot Water
Radiation.
Special Devices .
Input
Edr.
OUlput ~3.(X)J
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TYPE OF STRUCTURE
I. Pink
1 Gmrn
1 Y.II""
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File c:
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Single Family .
Two-Family
Industrial
Multi-Family
Olher
Commercial
Public
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Fee Schedule
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Induslrial, Commercial & Multi-Family
Residenlial, Healing & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, Additions & Alleralions
Residential, AC Only
1 'Yo 0' job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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Remember to add Ihe Stale Surcharge on the bottom 0' this applicalion.
The price 01 your heating permil includes one rough-in and one tinal inspection.
Additional inspections will be billed 8t $35.00 each.
House Healing Tesl Rccord must be submitted wilh IMlding RmJDilIlWDlllr belore bulle
ing certiticate 0' occupancy will be issued.
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HEAT kALC1I..lATIONS REQUIRED with number 0' supply and return openings listed ,
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.
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Other Devices
elm.
TYPE OF WORK
Alterations
Replacement
New Construction
Repair
Est. Comp. Dale f4/ 1'/'9
IIDO.DO ,BuildingPermiU QQ-3fo9
Est. Cost $
I~EA TING PERMIT FEE $ 3 q. 50
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ 40.00 Receipt" 3552. /
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I hereby apply 'or a mechanical syslems permil and I acknowledge that the .Jlo
inlormalion above is complele and accurate; that the work will be in con'ormanc.
with Ihe ordinances and codes 01 the city and with Ihe slate building/mechanic,
codes; that this form does nol become a permil until signed by the aUILOIN(
OFFICIAL; that Ihe work will be in accordance with the approved plan in the
case o~1I work which requires review and approval 0' plans.
;
All WORK MUST BE INSPECTED (ROUGH-IN AND RNAL) . CALL CITY HALL
447-4230
Building Onical"s Signature
6/tJ/4!J
Dale
0//7/q9
Date
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