HomeMy WebLinkAboutMechanical 99-560
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criY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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DATE
TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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1I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: rt1f 1-(,-0)
,
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
HEATING APPLICATION I PEFtMIT
c:; _ ,(:) - q ~ PID # 25 - /12- - ?J.5 4- - 0 \,
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Site Address \ "'ClU ~ c:,u ~ R..~~ ~ Av~ . K:./sD
Lot ..!l..- Block t../ Ad9'JIi6n 5 UN ~ eT 111(",(... S r;'DD /J .
Owner's Name f:. n \) \..c- 4(e. ~ D A Ll.,. Lot'-' 0 - 6"3 ~ 3
Address, II D -, 2 S \,j ~ ~ \ <::>~ .A "U,..
Heating Contractor ~t.S \. O~~\\ ~
Address _ \9) \ t; ~, 4' '5'\ CO,..-
Telephone # r'2 Lot '- \ ~ ~ <1.
A .<..
~ Make & Model .,- b(VI "5 Tit cL
t.Pt~ b 2..L.\ \J l<'O
Return Openings
Input 2 t.{, 000 Output
Date
Model Size
Conn. Load
Fuel '- \. ~,-.
Supply Openings
Edr.
Cfm.
Alterations
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,CITY OF PRIOR.l.AKE L.r --'?;~: I
· 16200 Eagle CreekAv. S.E: Permit No. ,W-50 0 MAY 0.... I "
Prior Lake, MN 55372 , ..i_ If
Single FamiIy.-~_ f'<J
1. PiDk
2. Green
3. Yellow
- File
City
Contractor
llYPE OF STRUCTURE
\
~wo-FamiIY
v'
Multi-Family
Other
Commercial
.
induStrial
Public
Fee Schedule
){~A,\N ~ ~.J.. \~
Su "t;:, A
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.
Flue Size
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 Dermit number before build-
ing certificate of occupancy will be issued.
HEAT ~ALCUI,.ATIONS REQUIRED. with number of supply and return openings listed per
rpom 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.
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HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
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
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Other Devices
"
TYPE OF WORK
Replacement ~
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
OFFIC~; th." the.. work Wil..' be in accordance with the approved plan in the
case of II work WJ"1jCh 1QUireS review and approval of plalils.
Cr I ,\v~ . 5-\ ~ -9'1
Appli~#S Sig~ti.. I _ Date
5/le/qq
Date
tv(;..w A. C
New Construction
Repair Est. Comp. Date
"-
Est. Cost $ .ih 1- -, - 00 Building Permit # qC; - a 0
HEATING PERMIT FEE $ 1>' ~ ~o
STATE SURCHARGE $ .50
u -c>c ~ "2
TOTAL PERMIT FEES $ \ 'b Receipt # 35 / q~