HomeMy WebLinkAboutMechanical Permit #00-0518
CITY OF PR lOR LAKE
INSPECTIO j NOTICE
ADDRESS
/4/61
OWNER
PHONE NO.
o FOOTIN~
o FOUNDA 'ION
o FRAMINC
o INSULAT ON
o FINAL
o SITE INSI 'ECTION
COMMEt ITS:
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DATE TIME
SCHEDULED ~ L;:O!)
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CONTR.
PERMIT NO.
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o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING~IN ~. ASLlNIji AIR TST
o MECH FINA A- I r ~
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o WORK SJ TISFACTORY. PROCEED
o CORREC' ACTION AND PROCEED
)()ORREC . WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ / Owner/Contr:
CALL, 47-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE 1 EQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
---I--~~-~---"-'-~-_._'-'~-
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Perm~ No.
Prior Lake, MN 55372
HEAnNG APPUCAnON I PERMIT
Date 19'2"01) PID# ;:;)J::;;"-bL./~-
S~e Address 14169 HUMMINGBIRD CRT NE
Lot r:L Block ~ Add~ion ~ 1ft \ \ ~t.l
Owner's Name DARREN LAHAM 496-3827
Address. 14169 HUMMINGBIRD CRT NE
Heating Contractor
RON'S MEX:HANICAL, :m::.
Address
12010 OLD BRICK YV RD
SHAl\Url!d!.. MN 5ll7Q
~;~/445 f;e;
T elepllone #
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cond~ionlng ~h
Vent. System .
Model Size
Conn. Load
Fuel
Flue Size
-+tJl1
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Famity
Commercial
v
Two,Family
Industrial
Public
Multi'Family
Other
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 SurcharQe 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 huildinn mmiI numher before build,
ing certif;..-' occupancy will be issued.
IQI'iS. REQUIRED with number of supply and return openings listed per
er opening. New structures or additions send floor plan with supply
. shown. HEAT LOSS CALCULATIONS, PAYMENT AND
( BE MAILED TO THE CITY OE PRIOR LAKE, 16200 EAGLE
. cllOR LAKE, MN 55372.
Supply Openings
Return Openings
Input
Edr.
Clm.
HEATING OR POWER PLANT
Steam
HotWater _ 1'1()()\ X. ,\,0
Radiation \ ()I()) x.U U\J
Special Devices _ C\-O'2> ,-!\'\""l
!'>C'\"\
Other Devices \~
Output
Akerations
TYPE OF WORK
./
\D.'21o.00
f!5O - 0571(
Replacement
......, Construction
Repair
EsL Comp. Date
Est. Cost $
\500
Building Permftl
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
,:+:\. g)
.50
40.00 Receipt# ~78'J:S
. ....1 business hours are 8 a.m. ' 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9B50
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.
&~f4y~
_ ~ica1's s~n~ture ~
~ffiJ?"I,~~~
Uilding, s Signature
to.'2 \ ,CO
Datel
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