HomeMy WebLinkAboutHeating 07-1008
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4[,10
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
"7--/6-di
c cJ/ ()Y'2i!J c;-,r
CONTR.
PERMIT NO.
7.- /t-..:~ ~K
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~WORK SATISFACTORY, PROCEED
4:J CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
OWner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
07.. JOB
JOb I ~ t-35-0<
TYPE OF STRUCTURE
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ellow
File
City
Contractor
Single Family
Commercial
Two-Family
Industrial
Multi-Family
Public Other
'if
~ -
s f. _~ Fee Schedule
Lot Block. Addition Industrial, Commercial & Multi-Family 1 % of job cost ($39.50 minimum)
-r 6 } T ~ ~ Residential, Heating & AC $99.50
Owner's Name ---L-f'""' .I ~p..C< !4,./, e... t1Ll ~ . Residential, Heating Only $64.50
Address L/t,90 ~/&~~ S~ E~~' Residential, Gas Fireplace $39.50
. ' I' J I ~~ . A J 7>. C.: Residential. Add"ons & Alterations $39.50
Heating Contractor J..-.a,n~ ~ ./""'?~ (,/ v Residential, AC Only $39.50
Address 2t/()~ Wa-~t.. SP FcC) ~Y'-'C
/1 C .., _ Q /1 VI j~.... li . Remember to add the State Surcharge on the bottom of fhls appllcallon.
Telephone# '-? C,.)t1? / Y / IV F f
Furnace Make & Model ~I/'V ,"-v ~ TYPE OF SYSTEM The price of your heating permit includes one rough-in and one final inspection.
- __ Warm Air Plants
Model Size ~T~ 0 I~ Gravity
Mechanical
Air Conditioning
Vent. System
Conn. Load
)(
Fuel
Flue Size
Supply Openings
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Return Openings
Input
Edr.
Output
Cfm.
i t9t?O cP777.
Other Devices
Alterations
TYPE OF WORK
Replacement "" New Construction
- J I 1/ I tJ 7.
Repair
Est. Comp. Date
.~~/Jt)
Building Permit #
tSd)
STATE SURCHARGE $ - 'i .~ . -
TOTAL PERMIT FEES $ Kq :;'\:s--;:eiPt # 6~ ~L ..l"
~" i'tS15? fru--
Est. Cost $
HEATING PERMIT FEE $
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina permit number before build-
ing certificate of occupancy will be issued.
HEAT QALCULATIONS 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