HomeMy WebLinkAboutMechanical 99-027
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DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
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SCHEDULED
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"2-. ~ CO
IS78Y
~p MBINGRI
CHANICAL
WATER HOO.KUP
o SEWER HOOKUP
o SEPTIC1NSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/ltltLlNG
. . [j LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
q. FIRE.PLACE
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
4 I'!l/Olj~~ t/tf1fCITY OF PRIOR LAKE
~ 7 MC
[j~f':; 16200 Eagle Cleek Ay, S.E. Ponnh No, ~d)"Z-
~. Prior Lake, MN 55372
, HEATING APPLICATION' PERMIT
Date J - 4----'1 tj _ PID..) S- - J i/3 -, () ~ 5" -D
Site Address I S. ,it ~<~~' ~. lMtJ llJJJ
Lot.2. Block r Addilfon a:1..-1. tC~~ / J;.- W ~
Owner's Name ~ /? -'f I k~. ~....,I/b.-=
(J .
Address ~.
SiD6WJCK HEATING & AiR CONDITiONiNG (/.
Heating Contractor 981 9 '.NeAtw8Rh 1wnHe Setttt', ,.
Address Mi1neepoIiI, MN 55420
. d81-MM
Telephone"
Furnace Make & Model
TY?E OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special ~evlces /J ~ h) .
~/ ~~. ft//t/
Other Devices .
Model Size
'Conn.load
Fuel
.
Flue Size
Supply Openings
Return Openings
Input
Edr.
Cfm.
Output
) 'J' 7F5"''J .> r. y L,];I L TYPE OF WORK
_ I t\ ,I I y Icement _ New Construction
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. .., :amp. Date t ---~ /'it
1. - CI f\ ;?r)
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l:J ';\"/e;~ -OOZI 1~~:ponnu -
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v , " , ~ ~un\.lnI\M\:it: , .50
TOTAL PERMIT FEES $ 4.0 . ()() Receipt , ~ 'I~
TYPE OF STRU..cTURE
1. (jlf~h
3. Yellow
LIly
Conlr8clor
Single Family
Commercial
V Two-Family
Industrial
Multi-Family
Public Other
Fee Schedule
Industrial, C(lmmerclal & Mulli-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential. AC Only
1% o' Job cost ($39.60 minimum)
$99,50
$64.50
$39.50
$39.50
$39.50
Remember \.0 add the State Surcharge on the bottom 01 this application.
The price 01 your heating permit Includes one rough-Ill and one final Inspection.
Additional Inspections will be billed at $35.00 each.
House Healing Test Record must be submitted with buildlml mmoillJWD.bti be'ore build-
Ing certiflcat6 of occupancy will be issued. .
HEAT ~ALCUl.ATIONS REQUIRED wllh number o' supply and return openings fisted per
room wilh CFM's per opening. New structures or additions send floor plan with supply
and return locallons 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 'or a mechanical systems permit and I acknowledge that the
Information above Is complete and accurate; that the work will be In con'ormance
with the ordinances and codes o' the city and with the state bulldlng/mechanical
codes; thllt 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 o' ail work which requires review and aplJroval of plans.
~A L3 ~//J/;~
~pp~ca!lt's sIgn.,re -I'{"U:/L
I bJI-r~
lilding OHlcal's Signature
/-t/ -<i 7
Date
- Date