HomeMy WebLinkAboutMechanical 99-0770
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION' NOTICE
PHONE NO.
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1'11(;'3 ~G.Jl ~
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PERMIT NO. qq - 770
SCHEDULED
ADDRESS
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
J!f MECH FINAL ~D
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
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Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
HEATING APPLICATION I PERMIT
Date f-..- \ L-(-C(q PID# 2.5-930- 04--/-0
RISO
Site Address \ ~ \ b'5 S \-\ A. D-I ~ ~A C..\:4.c ~ ~,\J "- Fee Schedule
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq - 770
Prior Lake, MN 55372
Lot Block Addition /'1eICo /N P'0(}lIIac:;
Owner's Name V E:. ~r---, A N ~ ~Q. '7-,0 r-.J
Address. 1 ~ \ b~ S\4-A'0--<"1\c-t=>\ '-~ ~'-d(.....
Heating Contractor ~.~ \ 00" ~" p.... L \-\ ~ po, T l N G. Ii A \ (7_
Address \?, l~ ~. 4\ ST ~\..... ~~.,~ ~ A
Telephone # -, 2...'-\ - I <is '1 C'-J
Furnace Make & Model "'\ f f'Ir'I ~ S1n:J2-- TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
Model Size
NDNbDI~
Conn. Load
Fuel rJA-T:. G A-SFlue Size
Supply Openings
Return Openings
Input J :> rOoDOutput
Edr.
Cfm.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
TYPE OF WORK
Alterations
o Replacement '-,.(
,
New Construction
Repair
Est. Cost $
Est. Comp. Date
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
h '-l . r;o
.50
65'oCJ
Receipt #
3554-8
TYPE OF STRUCTURE.
L Pink
2. Green
3. Yellow
File
City
Contractor
./
V/
Single Family .
'X
Two-Family
Industrial
Public
Multi-Family
Other
Commercial
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
C:~)
$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 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
447-9850
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; th~t this form does not become a permit until signed by the BUILDING
OFFICIA . that the work will b~n accordance with the approved plan in the
case of al work which raa1Jir~ ieview and approval of plans.
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- Date
(P/2j /qq
. Date