HomeMy WebLinkAboutMechanical 99-270
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5B41
5HAl\Jf\JON I kAr ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
COMMENTS:
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o CORRECT ACTI6t A PROCEED
o CORRECT WORK, FOR REINSPECTION BEFORE COVERING
DAltO TIME
4/,4-
4-:00
C1Cl- 2-70
o EXC/GRAD/FILLlNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
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Inspector: I \ I Owner/Contr:
CALL ~7-423: FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE Qu _ Z 70
16200 Eagle Creek Av. S.E. Permit No. t (
Prior Lake, MN 55372
Date
HEATING APPLICATION I PERMIT
I.} -1~qC\ PID # ;<5' ~(-A - 01 Cj-()
~\
Site Address 5841 SHANNON
lot I Block 2 Addition
DOUG & JILL NELSON
Owner's Name
TRAIL S
'v ((Or WII
440-9289
Address 5841 SHANNON TRAIL S
Heating Contractor RON'S MECHANICAL
Address 12010 OLD BRICK YARD ROAD
Telephone # 44 5 - 8 5 8 5
SHAKO PEE
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning ~+r:rv. R uJ.J.,/)
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Output
Other Devices
Cfm.
Alterations
TYPE OF WORK
Replacement..x New Construction
Est. Comp. Date
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
QQ-710
Building Permit #
~Ot .SO
.50
1..\ 0 .00 Receipt #
3q?5~~
TYPE OF STRUCTURE
1. Pink
2, Green
3. Yellow
File
City
Contractor
Single Family
Commercial
x.
Multi-Family
Other
Two-Family
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 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 permit 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 at "'II werl( wRiel:l r<>nlJires review and approval of plans.
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lIi1ding Offical's S1gnature
Date
L/-d-C;Cj
Date