HomeMy WebLinkAboutMechanical 00-0453
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEJ>ULED
3/cXD!OL .3&
-
ADDRESS ('39t.J ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
00 ~1'=>.3
o FOOTING
o FOUNDATIO~N
o FRAMING ~
o INSULATIO I
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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COMMENTS: /.,. (3_,
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)iOWORK SATISFACTOIIY. PROCEED
o CORRECT ACTION A ID PROCEED
o CORRECT W~ LL FOR REINSPECTION BEFORE COVERING
Inspector: . b ~ Owner/Contr:
I
CALL 447-9850 FC R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMl NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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CITY OF PRIOR LAKE MC .
16200 Eagle Cree~ Av. S.E. Permit No.00- <::i-i53
Prior Lake, MH 55372
HEATING APPLICATION I PERMIT
f..!y - &;- nn PID # 6l S - i \i-I - ()O'/{-{)
S~e Address (03Q l{ Co () I ni 1. (';\- .
;"v, _ ;:;;"v~ -A~..hIE \J~ (1'1 \,'\1-43 i ~ 'h d14'5"
D . ~
Owne(s Name Seo +\- R.o~
Date
Address
Heating Contractor
Address \ ~4 ~ (
'bu ( n<,."v i'ILL \4 ~ YlI" A
R-h () rlL \ ~\cA.YY.t Y-l U e (IS
4- A Ic~
I Blspnone Jf
antI __ ___
(') t t -~C)L.A~ U
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Piants
Gravity
Mechanical
Air Cond~ioning "^ 5L I C.:rYO.'?0
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
TYPE OF WORK
Aherations
Replacement )f...
New Construction
Repair
Est. Comp. Date
Building Perm~ # t\(\ - (\~ 53.
Est. Cost $
HEATING PERMIT FEE $ SCl. ~ 0
STATE SURCHARGE $ .50
TOTALPERMITFEES $ 40 .DO Receipt # 31/.. 45
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
?<
Multi-Family
Other
Two-Family
Industrial
Public
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
Rp,mAmhj::a,r tn ::Inri th~ St::atlC! ~'''rh~uC'P f'ln the hottom l'f th,iC' .:lo:-,~licatjnn
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 building Dermi! ~ before build-
ing certificate of occupancy will be issued.
!::!E& CALCULATIONS REQUIRED w~h 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
447-9850
I hereby appiy 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.
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