HomeMy WebLinkAboutMechanical 99-1135
DATE TIME
CITY OF PRIOR ~AKE
INSPECTlQN. NO ~~CE
" .
SCHEDULED
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ADDRESS
/115S'7
'! m120NT7J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C!t 9 - / (1 S-
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
o EX/GRAD/FilLING
o COMPLAINT
~ FIREPLACE RI
o FIREPLACE FINAL
~ GASLlNE AIR TST
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ll FOR REINSPECTION BEFORE COVERING
Inspector: Y)) t Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF 'PRldR LAKE MC =:-
16200 Eagle Creek Av. S.E. Permit No. CJ?-/I.3
Prior Lake, MN 55372
, / H~'TING APPLICATION I PERMIT
cy / f /?9 PID # 25"' 2- E3 0 - 0 () '7 ,0
Site Address ! 70!77 7lJI?t)AI't(J Mc-
Lot .3 Block 2.. Addition Yo!OODRJOGjt;; ~n;:s /GT
J1,Nlr~r.t/ ( L." A/'~<- tJh rhAJ::,
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Date
"e/
Owner's Name
Address .
Heating Contractor
Address .
Telephone #
p.p
.fYrRac:Q Make & Model
1I/6~ECIC-
L,eN/vOX
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input.
Edr.
Output.
Other Devices
Cfm.
TYPE OF WORK
Alterations
Repair
Replacement
Est. Comp. Date
Building Permit #
CJc;-I/35
New Construction
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
3?- SV
.50
40.0D
Receipt #
3G 2.-0/
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
TYPE OF STRUCTURE
/ Two-Family _ Multi-Family .
Industrial
Public
Other
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)
$99.50
$64.50
$39.50
$39.50
$39.50
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.
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 CALCULATIONS 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
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 WOrkAJhiC~Uires review and approval of plans.
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