HomeMy WebLinkAboutMechanical Permit 03-1246
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
511'/( (kzd/,(s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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DATE m..
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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;.vORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEEO
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 'I' iC{" Cr/eontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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. /j HJ=ATING APPLICATION I PERMIT
? /'1 10'5 PID# :l5-()d--1- 0,)7-6
S~e Address S Y f I (7,1\ c 01::.. C~./? r ~ S t::
Lot /5 Block 3 Add~ion !YdJOi^~ ~ L/--t:A.-
Owners Name 01\ r-J +- 1-\.CifL. 1/ ({ ('") r4 S; ,. f7 et\...-,
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Address S" If I J 1:51\ oqft' c.; rz.cJ2.p C;:. G'
Heating Contractor (\.ro,.~ Co u.>e'S i&;;:" -f- If.Tf:t;.
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Address Co~). ~ fSl.cor--..,.... Q, ~ r-> A I.l--Z. <;
Telephone # (e, f"?,) )lc,f, -lleR
, I r
Furnace Make & Model CO"" I\3"\.. Th..C\.~ TYPE OF SYSTEM
rI -Ie I Warm Air Plants
Model Size . \ar ';::' 00: /001 Oc 0 Gravity
Conn. Load G I{ I t..J 0 0 Mechanical
_ . ,. Air Cond~ioning
Fuel 1"'\ I .5 i S Flue Size ~ Vent. System
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
1)3-/;2Ji~
Date
Supply Openings
Return Openings
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Input
Edr.
elm.
Output
-
Other Devices
A~erations
TYPE OF WORK
Replacement X New Construction
Repair
a,/IR/bS
Est. Comp. Date
Est. Cost $ I Cn ~ 0 . 0 0 Building Perm~ #
HEATING PERMIT FEE $ ~9-c:;-o
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STATE SUReHARGE $
TOTAL PEm-"- ~EES $
.50
1./0-
Receipt #
TYPE OF STRUCTUR~
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
eommercial
Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial, eommercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, Ae 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 buildin9 oermit n, '~"A' before build-
ing certificate of occupancy will be issued.
HEAT CAI CUI ATIONS REQUIRED w~h number of supply and return openings listed per
room with eFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS eALeULATIONS, PAYMENT AND
APpueATIONS MAY BE MAILED TO THE elTY OF PRIOR LAKE, 16200 EAGLE
eREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPEeTED (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 01 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
ca~re ire review and approval of Plan~ IILf /0 "5
Applicant's Signature Date
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Building rcal's Signature Date
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