HomeMy WebLinkAboutMechanical 99-1167
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CITY OF PRIOR LAKE
INSPECTION NOTICE
or
ADDRESS
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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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DATE TIME
2!3'c
99--/1~/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLI~ AIR TST
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ , Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
1. Pink
2. Green
3. Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT
Date 9-'1-~q PID#25-/2A--0C)9-0
Site Address \ L\ O'"2...S Q.~\-~ !_fl _~ ~} II ~ Ae /
U
Lot 9' Block / Addition ~{/L//At:5 M~AlO..e. 4?f:!
Owner's Name K ~--^- (p 11'< :~ \ ~
- -----"
Address \ 4 0 -:t. S ~ c LX( /<... Pn... .J..J...J
o
Heating Contractor KLEVE HEATING
Address
Telephone #
Fuel
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Cfm.
Alterations
Repair
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. t.?t?- //iR 7
Prior Lake, MN 55372
TYPE OF STRUCTURE
~ / Two-Family Multi-Family
Single Family
Commercial
Industrial
Public.
Other
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioningfhvv\-.~ R.C.J3:l. i
Vent. System
S EAnNG OR POWER PLA~
Hot r /
Radiation / .
Special Der "-..
Ot~ices ~...........
TYPE OF WO~
Replacement ~ New Construction
\O-Q.-qC\
.
Q('/-//07
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Est. Cost $ Building Permit #
HEATING PERMIT FEE $..3 q . <5:"0
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ ~. crO. Receipt#
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
& AIR CONDITIONING INC.
13075 PIONEER TRAIL I \ L.. C\ LL l- Y ~\ l Remember to add the State Surcharge on the bottom of this application.
C:OEN PR~IRIE, UN 553<17 ""-R .. l
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Output '"
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,
Est. Comp. Date
3&;2~
/
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 oermit 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
447-4230
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.
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. Building Offical's Signature --
?h:/99
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