HomeMy WebLinkAboutMechanical 99-1253
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS , 55q S
OWNER
PHONE NO. Z c:ii (, S-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
I
Sl.~'EDULED
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J
CONTR.
PERMIT NO.
A
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
ptf'MECH FINAL
COMMENTS:
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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9
,NSPECTION BEFORE COVERING
Inspector: / . Owner/Contr:
CALL J.,-9850 FOR THE NJT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE MC
16200 Eagl~ Creek I\v. S.E. Permit No, tit? -( 253
Prior Lake,.MN 55372
HEATING APPLICATION I PERMIT
Date 1 D-'l \"'9 9 PID # 2e::; - '43-
Site Address \6,~C\ ~ <- ~.k \[ I i r\ ~
Lot )2- Block .3 A~dition ISLA~O VIEW
-t\D~ i '- -.J C\ CLuv"Cl\ )
051-0
l2.ISD
l~
Owner's Name
Address l
Heating Contractor~-\-U \ !\.) Y l r\C- .
Address lC1D W. '- ~~\~ 4Jkl}..}~
Telephone # 8qq-l4- L L .
Furnace Make & Model
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Output
TYPE OF STRUCTURE
Single Family
Commercial
y
Two-Family
Industrial
Public
I. Pink
2. Green
3. Yellow
File
City
Contractor
Fee Schedule
Multi-Family
Other
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
$39.50
c=b
OCT , 3..,
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
City Hall business hours are 8 a.m. - 4:30 p.m.
Cfm.
.
Otll#lr Devices1\~rQut\ Y\.~ _, ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
rhos.'e$fU.~~U)~ 447-4230
TYPE OF WORK
TYPE OF SYSTEM
Warm Air Plants
Gravity Additional inspections will be billed at $35.00 each.
Mechanical House Heating Test Record must be submitted withbuildinq oermit number before build-
Air Conditioning. J:)"f...-I <:::J"XC).l.4- J\ t-j ing certificate of occupancy will be issued.
Vent. S stem t:L 40h ~ 1'\f'- . .
y - HEAT CALCULATIONS BEQU.IRED with number of supply and return openings listed per
HEATING OR POWER PLAN room with CFM's per opening. New structures or additions send floor plan with supply
Steam and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
Radiation CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Special Devices
Alterations X
,/
Replacement
New Construction
1\-15-99
99. /z-63
Est. Comp. Date
Est. Cost $ 2 3 \)D . C0a Building Permit #
HEATING PERMIT FEE $ l 9.0 D
Repair
r
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
t9.5Q
Receipt #
r'=? (P4S /
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 buildinglmechanical
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.
G"- ~~~
&;;iCca~t's s~gn~t~re
Building Offical's Signalure-
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