HomeMy WebLinkAboutMechanical 00-0474
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,
ADDRESS /S/9Y ~;c
OWNER fj~ ~J!I- =ONTR.
PHONE NO.
'ERMIT NO.
DATE
TIME
3)1::';
fM - '174/
o FOOTING 0 PLU! IBING RI
o FOUNDATION 0 M~C RI
o FRAMING 0 WAT R HOOKUP
o INSULATION . 0 S R HOOKUP
o FINAL 0 PLU BING FINAL
o SITE INSPECTION ({;.) f MEC FINAL
COMMENTS: A,C, ~~
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o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)If, WORK SATISFACTORY, PROCEED
( ~ CORRECT ACTION AND PROCEED
:.:::.ECT WO&;AJLL FOR REINS:, :~::I::n:~FORE COVERING
CALL 447-9850 FOR THE NEXT IN IPECTION 24 HOURS IN ADVANCE,
IN. NOTl
CODE REQUIREMENTS ARE FOR} 1UR PERSONAL HEALTH & SAFETY!
--,.-.,.._----_._-~._-- .. --_._..__.__._~-
HEATING APPLICATION I PERMIT
C, /;Z/OO PID#_z'S-039- 0,(58-0.
/5/96 RSIi POI NT /2L) ~/5lJ Fee Schedule
Add~ion />1/9 V&5 FII€ST LAK6~dustrial. Commercial & Multi-Family
~' .t::/J V ;t//l,.e~/.5H Residential, Heating & AC
I ResIdentIal, HeatIng Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
!553CJ/
Date
S~e Address
Lot I Block
Owner's Name
Address
Heating Contractor
...
;;elep one #
~~
Make & Model
Model Size
Conn. Load
CITY OF PRIOR LAKE MC ,,'
16200 Eagle Cmk Av. S.E. Permit No. f)J -0 ~ tf'"
Prior L1Ike, MN 55372
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4-7t:. - 035/
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AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System _
HEATING OR POWER PLANT
Steam
Hot Water
Radiation.
Special Devices
Other Devices
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
Alterations
Repair
Est. Cost $
TYPE OF WORK
Replacement
New Construction
Est. Comp. Date
Building Perm~ #
/'fb -04- 7 4-
.
HEATING PERMIT FEE $ 39 50
STATE SURCHARGE $ .50
TOTALPERMITFEES $ 4(J.OO Receipt #
..37 h to c::;
I. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family
./
Two-Family
Multi-Family
Other
Commercial
Industrial
Public
1 % of job cost ($39.50 minimum)
$99.50
$64.50
~
$39.50
Mt;\!IIIt;\!lllrJt:l. LV CI.-";-"; ~: j;;; :.:~:.;. ::...,...~-..:.:-;: ::-: ~~: bottom 01 this appliC'ati(\n
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 bl!i!!fulg Q!ll!!i! number before build-
ing certificate of occupancy will be issued.
!:!EAI CALCULATIONS .RFOUIREQ with number of supply and return openings listed per
room with CFM's per opening. New structures or addttions 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.
., .,0:: "~';;'.O::'" _;:SGH.IN AND FINAL) - CALL CITY HALL
~on.: (952) 447.9850 Fax: (952) 447-4245
-
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
casg;;;?ev:e: and approval of Plans~/i ~/ <fO
'f. AP/tli1fr.t.-- . f- (,/;~a~rd_
BUildirictlUSignature / o}/te
ALL WORK