HomeMy WebLinkAboutMechanical 99-481
TIME
/.'30
DATE
3/1 (00
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCIi..EDU~EQ
/h974- WIf-Oeet1JCSS
ADDRESS
CONTR.
OWNER
qC;-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~GASLI AIR TST
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
It
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\ 01031'2.00\ ~ ~O
C~OS~~
\ll~O\" ~-
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
6
a
COMMENTS
File
City
Contractor
Pink
Green
Yellow
1.
2.
3,
MAY
I
4t3
qq-
CITY OF PRI(\..B LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
~
Public
Commercial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential
Residential
Residential
Residential
Residential
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
PERMIT
I
Address
Heating
Remember to add the State Surcharge on the bottom of this application
Address
final inspection
heating permit includes one rough-in and one
inspections will be billed at $35,00 each
The price of your
Additional
building permit number before build-
Il House Heating Test Record must be submitted with
/,;;\-hJr1ing certificate of occupancy will be issued.
13556G1<
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Conditioning
Vent. System
Furnace Make & Model
Model Size
Conn. Load
tlfAI 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.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
Flue Size
Output
Fuel
Supply Openings
Edr
Return Openings
Input
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.
0- 3- '::;9
Date
sl I.f/q
Date
Other Devices
- ,~ TYPE OF STRUCTURE
Single Family >< Two-Family
ndustrial
New Construction
Building Permit #
5'0
TYPE OF WORK
Comp. Date
Replacement
Est
B9
x
Cfm.
Alterations
Cost $
Repair
Est.
3::::> I~
Receipt #
50
DC>
HEATING PERMIT FEE $
$
TOTAL PERMIT FEES $
STATE SURCHARGE