HomeMy WebLinkAboutMechanical Permit 00-0998
CITY OF PRIOR LAKE
INSPECTION NfTICE
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATIOII
o FRAMING
o INSULATION
o FINAL
o SITE tNSPEC nON
DATE TIME
SCHEDULED 12;/ f~tJ It): EO
3i.u.c/$I/UJ T/Z-.
CONTR.
PERMIT NO.
d- 1'9?
o PLUMBING RI 0 EXIGRAD/FILLING
o MECH RI ~ 0 COMPLAINT
o WATER HOOKUP ~ ~FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 10'\'iit GASLINE AIR TST
o MECH FINAL vrD'
COMMENT~:
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o WORK SATI~FACTORY, PROCEED
~ CORRECT A&.TION AND PROCEED
:s:::o:ECT;' ~ALL FOR REINS:~::/::~:FORE COVERING
CALL 447J9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
!
CODE REQ'rIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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CITY OF PRIOR LAKE
16200 Eagle.Creek p.v. S.E. Permit No.
. Prior Lake, MN 55372
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TYPE OF STRUCTURE
I. Pink
2. Green
3, Yellow
File
CiIY
Contractor
Single Family X
Commercial
. Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial. Commercial & Multi-Family
Residential, Heating & AC
.p Residential, Heating Only
~H) (.- L~ Residential, Gas Fireplace
Residential, Addilions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Block
-
Ownefs Nam"""'; ) .fY'\
Addilion
Lot
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Address /4:2-'1'"'7 tB ~B I R.Jl -:-L....
Heating Contractor .\/j 'i ~ \1 -. L5z..P LA c.-""2....-
Address / h/_\I rn//'N /lY-L E?",ct. _ ;fj)jU 0_ ~~
Teleph";" # . q St:" '{'f O---fSbbO
FI Jtt-1'4- e.."t- 0" (Z.J .$e. ~N
- .~ Make & Model /HA:N/.7T '-- TYPE OF SYSTEM
~ / _ _ Warm Air Plants
Model Size ~~ D .,,", L U Gravity
, Mechanical
Air Condilioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Conn. Load
Ai -'
Fuel t..:LJ'J , L
Flue Size ~,-.....,,,
Supply Openings
Return Openings
Input
. Output.
Edr.
Clm.
Other Devices
TYPE OF WORK
Alterations
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New Construction
Replacement
Repair Est. Comp. Date
Est. Cost $ d-OO 0 - Building Permit # .
HEATING PERMIT FEE $ '3 q..::;~6
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ q () - Receipt #
39JColb
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RAmAmhAr to Flnri thA St;:ltA Surr.harnA on thA 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 buildinn Dermit 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
447-4230
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 wi" be in accordance with the approved plan in the
C);: of .:" =WhiCh lquires review and ~~roval of plans.
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