HomeMy WebLinkAboutMechanical 99-1020
TIME
d:tlC
DATE
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
1- (0 -03
SCHEDULED
ADDRESS
CONTR.
OWNER
loco
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~IREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS
3J~'
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
nspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
File
City
Contractor
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Pink
Green
Yellow
Multi-Family
Other
L
2.
3.
TYPE OESTRUCTURE
Public
Y Two-Family
I
Industrial
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
~" Residential, Additions & Alterations
- '<- Residential, AC Only
~ J4tJU
dj37 Remember to add
Single Family
Fee Schedule
Commercial
CITY OF PRIOR LAKE MC
16200 Eagle Creer< Av. S.E. Permit No. 9? - /0 ZO
Prior L~e, MN 55372
HEATING APPLICATION I PERMIT
Date ---J:J::J Jl-~ r 5-~
Site Address ----"" /C~
Lot Block
Owner's Name
Address -
Heating Contractor
Address
the bottom of this application
includes one rough-in and one final inspection,
building permit number before build-
be billed at $35.00 each,
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
the State Surcharge on
heating permit
inspections wi
The price of your
Additional
HEAT CAli LATIONS 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.
TYPE OF SYSTEM
Warm Air Plants _
Gravity
Mechanical _
I) ?~N It: Air Conditioning -
~-:.; r-IN ~ent. System _
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
CALL CITY HALL
Model Size
Conn. Load
Fuel jJ G~ Flue Size
Supply Openings
Return Openings
Input ){!jod() - Output
Edr.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) -
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
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all WQ which requires review and approval of plans.
/'
I'
447-9850
Other Devices
TYPE OF WORK
Alterations t- Replacement New Construction
Repair Est. Comp. Date
Est. Cost $ c100Q - _ Building Permit # _ C;C;-/Oz.O
HEATING PERMIT FEE $ 39-~
-
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ 00 Receipt # 358&
Ii
Cfm.