HomeMy WebLinkAboutMechanical 99-125
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PERMIT NO. C qq ..;."0 I Z-, C)~
CITY OF PRIOR LAKE
INSPECTION NOTIC3 '-( 'f 0
ADDRESS ~~
SCHEDULED
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL I'1'7i:'J. 0 PLUMBING FINAL
o SITE INSPECTION (llY~." MECH FINAL
COMMENTS:
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DATE TIME
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
~ ~ ri-'-l ' 11 PID' 2-<;1 000 l t... 0
.ss "3 4L1o l~, v'\ I-d (; I LA C 1..,.(1 e.
S""BIock Addition fW"'1 k,\{
.:me lJ",-u l'e' c:..,. r-}{Ol-i)Y"\
I 2..1- ,P" t'\ 1-\{' (> V (b h." Sl.,p..kv() PC> 'M~'
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P. o. [bo ~, ,'2.-;; 1 _<:l'\.~ <'.af(2.l ~ M.d S s??~
44s- SlOV
ontractor
If'
~e & Model C C\ f"r\.p 'C
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning '::l -r (-N""-o.
Vent. System
~)-L5-l0
rd..p,. lOb RTl).
, ~ r-r Flue Size
$(
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HEATING OR POWER PLANT
Steam
)~mings / - C l" ~II " /l l ~ -nHot Water .
Radiation
S . K u.:output ~ ~K'. u...:> Special Devices
>enings
.fr20
Other Devices _ro('r..t!~ ~
TYPE OF WORK
s
Replacement .
New Construction
'I..
$
Est. Comp. Date
Building Permit' _
i PE~MIT FE~ $
I,JRCtiARGE $
'ERMIT FEES $
Cf'7. So
.50
tOO.@..>
Receipt'
3l/72ll
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File
City
Contractor
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r
TYPE OF STRUCTURE
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Single Family
Commercial
y
Two-Family
Industrial
Public
Multi-Family
Other
J
Fee Schedule .j '.
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Industrial, Commercial & Ml.Ilti: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 building permit .number before build-
ing certificate of occupancy will be issued.
.I:IEAI CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or ad6itions 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 work which requires review and approval of plans.
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