HomeMy WebLinkAboutMechanical 99-033
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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SCHEDULED
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIME
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o EXfGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
~REPLACE FINAL
o GAS LINE AIR TST
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: tI[;t( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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DATE TIME
CITY OF PRIOF. LAKE
INSPECTIt,m NOTIcE
SCHEDULED
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ADDRESS
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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
AI Pt 0 PLUMBING RI L)::I::-
f. . ~MECHANICAL ~
Yo WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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COMMENTS:
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o WORK SATIStCTO Y, P. CEED
o C RRECT AC 10 PROCEE
~RRECT W . AL FOR RRl'NSPECTION BEFORE COVERING
Inspector: / ~ Owner/Contr:
CALL J7-4230 FbR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~EN18 ARE FOR YOUR PERSONAL HEALW & SAFETY!
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Owner's Name
Address
Healing Con/raclor
Address
CITY OF PRIOR LAKE Me 17>, " :.,J/Li_,
16200 Eail'e Creek Av. S.E. Permil No.~//'/, t-D ~3 _
.Prior Lake, MN 55372 I
Single Family
HEATING APPLICATION / PERMIT
PIDII J5-~ 1-C'!') -Cl
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Addition _~G ,--t-Ct~l_::.'/l<--<-.o-1S "F- ,c 3 S-.
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Mied riffSide
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~ license I2OO909J 1
LlW N. t'lfYltW ~we.
R05eYifle, MN 55113
ti 121633.256 I
Telephone tI
Furnace Make & Model tJ o./u...s
Model Size G tJ"Dc. 3 :3
Conn. load
Fuel ,N. (Qc..~
SUpply Openings
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Relurn Openings
Inpul.
Edr.
Clm.
Flue Size
TYPE OF SYSTEM
Warm Air Planls
Gravily _
Mechanical
Air Condihoning
Ven!. Syslam
HEA TINa OR POWER PLANT
Steam
Hol Waler
nadialion
Special Devices
_ OUlput .;15 0C0
Other DaYices
TYPE OF WORK
Repair
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_ Esr. Camp. Dale
New Construction
Alterations
Esl. Cost $ Jj Q) rT1
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Replacement
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- Building Permi111 _ 01 ' ( '1
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.50
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Receipt II _
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TYPE OF STRUCTURE;
Commercial_
_ TWO-Family
Industrial _
Public
Multi'Family
Olher
Fee Schedule
lnduslria/, Commercial & Multi.Family
nesidenlial, Healing & AC
Residenlial, Healing Only
Residenlial, Gas Fireplace
Residential, Additions & Alleralions
Residential, AC Only
1 % 01 job cosl ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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Remember 10 add Ihe Slale Surcharge on Ihe bollom of Ihis applicalion.
The price 01 your healing permil includes one rough-in and one final inspection.
Addilional inspections will be billed al $35.00 each.
House Healing Tesl Record musl be submi/lcd wilh ~ ~ ~ be/ore build
ing cerlilicate 01 occupancy will be issued.
l:!E8I CAt r:lJLA.T10NS REOU/REQ with number 01 supply and rerum openings lisled PI
room with CFM's per opening. New slructures Dr additions send "oar plan with Supply
and relurn 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.
Cily Hall business hours are B a.m. . 4:30 p.m.
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All WORK MUST BE INSPECTED (ROUGH-IN AND FINAl). CALL CITY HAll
447-4230
I hereby apply for a mechanical systems permi! and' acknowledge Ihat (he
in/orma/ion abOYe is complete and accurale; Ihallhe work will be in conlormance
wilh the ordinances and codes 01 Ihe cHy and with (he slale bUilding/mechanical
codes; fhal Ihis lorm does nol become a perm;1 un Iii signed by Ihe BUILDING
OFFICIAL; (hat rhe work will be in accordance wilh Ihe approved plan in Ihe
case 01 all work which tequires reYiew and approval of plans.
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Building Ol/ica/'s Sign3lure
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