HomeMy WebLinkAboutMechanical 99-968
CITY OF PRIOR LAKE
INSPECTION NOTICE
. ~HEDULED
9
DATE TIME
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ADDRESS
5300 /A/6STWOQO De.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
Ct)~
~~
. ,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
99- 9roB
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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RY, PROCEED
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Fok REINSPECTION BEFORE COVERING
Inspector: \ Owner/Contr:
CALL 44'-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REU'REMEN ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
lNSNOTl
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CITY OF PRIOR LAKE MC
16200 Eagle.Creek Av. S.E. Permit No. e'jq-9~e
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date '3 - ~ . '\ ~ PID # .Z5 -9 .3~- 001 - 0
Site Address ~()() lue<<;,..t-IUO~\t- C ,
Lot Block Addition ~/65 fiNO 80 uNOS
Owner's Name Y\r;OIt- ~9) "S,a-w:t.yP ~~l"ll 'D~'$r. IlGl
,
Address ~oo Lt..>e.-;.+~ \) \r, ~\r~o"" ~
.
Heating Contractor {'\. -\. \-y \\ \1 \' I"' , '. r"\ l..
Address \ '-<> ~ ~ t) ~ \ to ~ ~ '-! t..; '? t.. .
Telephone # '-\~I -~\ ~'-\
CliLIt'...l,oVI' :J8'C,lIIiC..o"&."i
Furnace Make & Model c.v."\v,,, srPtrl/O'{'!; TYPE OF SYSTEM ~
Warm Air Plants ~
Gravity
Mechanical
Air Conditioning ........-
Vent. System
Model Size Lfs-.OOQ Q"TU..-,I "7 +n V\
Conn. Load
Fuel "",cl.+, C~ Flue Size
Jj>f
Supply Openings
Return Openings
Input ~.ooo
Edr.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
. Output....B6 000
I
Other Devices
Cfm.
A~s NO
TYPE OF WORK
Replacement 7New Construction
Repair Est. Comp. Date
Est. Cost $ ~. ~ C\~ Building Permit #
HEATING PERMIT FEE $ '~'\ s ~
STATE SURCHARGE $ .50
\. } ~G
TOTAL PERMIT FEES $ -, C\ - Receipt #
9? - q~ ~
35640
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
Two-Family
Industrial
Multi-Family
Public ~ Other
1/
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 oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REOUIRED. 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
447-4230
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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Date
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, D8te
Building Offical's Signature
,.
'"
.Permit"
qq- q I-.>?
.Job Addr_
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.Healing c. .. .lor ~ t"=*"".s? ~ \ V'
.Testel'l/Sighature \.j) g (t, ~
vJ~
:0.
2!!!
Pounds
Pressure
Ii!!!!
.Gas Une
Pressurized
Inspected
PERFORMANCE'TEST
.Percent CO2 ~, I ~o
.Percent 02 G. q ~I?
Finalln,,~ . . :on
.Percent CO hor"
.Stac:k Temp. 3J'I() F
Date
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