HomeMy WebLinkAboutMechanical 99-1364
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3 ~ LID
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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SCHEDUI"ED 1
. 15
~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
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o EX/GRAD/FILLING
o COMPLAINT
r9-~FIREPLACE RI
( 0 FIREPLACE FINAL
~ASLINE AIR TST
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORWR' CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
x' .-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
1. Pink
2. Green
3. Yellow
File
City
Contractor
CITY OF: PRIOR LAKE MC
16200 Eaglf! Creek Av. S.E. Permit No. qq -/3(P4-
Prior Lake, MN 55372 .
TYPE OF STRUCTURE
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Single Family
Commercial
Two-Family
Industrial
Multi-Family
Other
HEATING APPLICATION I PERMIT
1- \tj..{'1"l _. PID# 25-/7"2",- 033-0
Site Address 3?Y'fo ~C,.{ ~
I
Lot I (p Block 3 Addition '5 U NS (:; I HI (..-vS ADO /'J
Owner's Name a [Gt. m ~hS
Address ?J 3~O ~ .-r7c
Heating Contractor,-'1 (Jt~ ( ~M tI
Address 3s~ lJ\J. ~ \J (~ S~A1\n~IIJJ..o
. I '
Telephone # I p ~- CLtit ()- 1\1 SX"
Furnace Make -& Model K0'2.~ i~
Model Size C11 i l( l- l
Public
Date
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)
~. l:I'Q6. '. ,-,.... . r-. ,'-;:: _. r '0 '
--:4 '-re: ;-. ,
::M50' , . c .
$39f50 NOV I 7 1999
$39,'.50
553~7
W~.~'_""""""_H__'...._______",,_ --------.J L..
Remember to add the State Surcharge on the bottom of this-applicatioR.-.._.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
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 .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
Conn. Load
Fuel nW
, I
Supply Openings
II il
Flue Size T
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Return Openings
Input '!t);GrrJO Output.
Edr.
Other Devices
Cfm.
TYPE OF WORK
/
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 beCOFrle a permit until signed by the BUILDING
OFFICIAL; that the work w' e in ace 'rdance with the approved plan in the
( fnDt, O~.k,W~;;.. ./, ':.,i.W,r. s..:.v;e", and approval of PI[n(~5f17
V ~ ....... A. ~P'Jcrnt'~SI9flatu~_tll U Date
/'w'.!<;"/. .' //~c;/qq
Building Officars Signature """ , Dli'te
Alterations
Replacement
New Construction
Repair
Est. Comp. Date
Building Permit #
99-/3(P4-
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
, ..5.0
%tOV
3&54-1
Receipt #