HomeMy WebLinkAboutMechanical Permit 00-0454
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CITY OF F RIOR LAKE
INSPECT' )N NOTICE
SCHEDULED
ADDRES~
OWNER
CONTR.
PHONE NI ),
PERMIT NO,
o FOOTI~ G
o FOUND ITION @)
o FRAMI"'G
o INSULA nON
~FINAL
o SITE IN! ;PECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOO P
o PLUMBIN AL
o MECH F
COMME ~TS:
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DATE TIME
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I
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ WORK ~ ~TISFACTORY. PROCEED
o CORREI T ACTION AND PROCEED
o CORREI T/:f;CALL FOR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTJ
CODE ~EQUJREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
HEATING APPLICATION I PERMIT
Date ,T,~-C() PID#~:S-7Vld.-04;).-t:l
She Address ,"){r:d () {h rK II I f'i d (I I ((; 1<", Sf"" Fee Schedule
Lot A- Block Lj Addhion C~. 0a ^ \2.1 Ai'lL.. gNA... ~ Industrial, Commercial & Multi-Family
"'^" N\(j \~ -+ -\ i?,~\J,. Residential, Heating&AC
Owne(s Name () rv-.. .l- pC':J'-\ t:" 1 R 'd t" I H t' 0 I
~t Ii ' 'J. - aSI enlS, ealng ny
Address /)(~{) 'tV ,/\ 1/11::"(1) f'1 ((1 C'- Y Residential, Gas Fireplace
~J .., \ 11 "'/Vo- \ '+ Residential, Additions & Alterations
Heating Contractor (:1if' (', )' , \17-, I .' Residential, AC Only
Address )d~C;() ~ (Jill SSf)luml'L'j-f\ S<J;4/
,i '2.- Jer:> __I \? '2 y?,
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. ()l) - 0Ll54
Prior Lake, MN 55372
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Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condhioning I P.. A-N (:.~
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Cfm.
Output
Other Devices
Alterations
TYPE OF WORK
Replacement V
New Construction
Repair Est. Comp. Date
Est. Cost $ :) 'I %:...\ . ~pD Building Permh # M - iV-l;l:;.L\
,
HEATING PERMITFEE$ _ -jq 50
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
40. ()() Receipt # -.3 ry c.. 4(",
40 ,Cf)
L Pink
2. Green
1 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
$39.50
$39.50
Remember to add the State Surcharlle 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 Illlli!li1 number before build-
ing certificate of occupancy will be issued.
HEAT CAI CIJI ATIONS REOIHRFn with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor pian 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
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