HomeMy WebLinkAboutMechanical 99-1280
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
TIME
1~/;~/91
3:()Q
Cf9-/2 15 Q
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI @)
o FIREPLACE FINAL .
o GASLlNE AIR TST
~ A/~N~le6 .
)(WORK SATISFACTORY, PtOCEED
/ 0 ~RECT ACTION AN P OCEED
o CORRECT wo~I F R REINSPECTION BEFORE COVERING
Inspector: ---1J< ~. Owner/Contr:
"I 1-
CALL 44'.9850 FbR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRlqR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq -{ LBD
Prior Lake, MN 55372
Date
HEATING APPLICATION I PERMIT
If)~ dD.qO\ PID# 2.5-D/I- 02/- 0
15583 WILDWOOD CIRCLE }a/Sl)
Site Address
Lot (P Block
Addition 6Att::.WOOO HILA...S
Owner's Name. NICKOL LAYMAN
M~ess 15583 WILDWOOD CIRCLE
Heating Contractor
RON'S MECHANICAL, INC.
12010 OLD BRICK YD RD
445-8585
Furnace Make & Model \<. U,LlO
Llb PHc>:rE.~UhR
~HAK()PF.F.. MN
55379
Address
Telephone #
Model Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
Conn. Load
Fuel
tJ~
Flue Size
Supply Openings
Return Openings
Input 1-S, ()OO Output (JL). ceo
Edr.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Cfm.
TYPE OF WORK
Alterations
. Replacement _ vi
. Est. Comp. Date
1\ '1O..q q
'7~-/280
New Construction
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit #
~.5D
.50
ItO.OO Receipt # 3(P 4/p 2-
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family .
Commercial
-/
Two-Family
Industrial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Public
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
OCT 2 , 1999
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 work which requires review and approval of plans.
~~dCL \RYi~
/) Applicant's Signature ..~! .
~,- ../'
/\v:.... .. :i-
f- ,I-"l...'.~ *'"../ lll.. .... j/..d~
~ Building Offical's Signature
ID-dO-Cf1 .
Date
/O/25/q~
I Dat~ /