HomeMy WebLinkAboutMechanical Permit #99-0025
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
4/zz-
TIME
2.:30
ADDRESS
14-Dqq SHADY 8EACH TRA\ L
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o ,FOOTING
- ~-,..........,e
. 0 INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
COMMENTS:
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~ ~rU)lw
- J
~I_. ~ 9 C;-c?-5'
o EXC/GRAD/FILLlNG Ff
o LKSHORENVETLAND
o COMPLAINT
,. _~EPTIC FINAL
~FIREPLACE
o
lli/,
rW
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f\\. \ /" \ '-'
l~j ~ \
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 'OR REINSPECTION BEFORE COVERING
Inspector:
~, ,.,
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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DATE TIME
SCHEDULED </-16 -L?'1 d: Ct)
jL/OYc; 5j1-{~ B1CtcM 5/.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
CONTR.
PERMIT NO.
~-?t 99-~r
'- 0 EXC/GRAD/FILLINr
~Sr 0 LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
~REPLACE
o
f\ ~UMBING RI /'
, MECHANICAL (Pfl'!;
DATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
1~,trJ Ji>1 r L-!J:."uf/-'- (LJf
,:WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~\- . Owner/Contr:
- .
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-_.'.......'-',._---'-_._--" -
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. '1f-IJU,r-
Prior Lake, MN 55372
1. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE.
HEATING APPLICATION I PERMIT
Date l/idn PID # 33 -II L/ -00'2. - (.p
Site Address 1'10'1 cr StI ~ 1S~1.t:/tA T f.., II€-
_o-t't... t.
Lot 1 0 Block Addition Q6 \A N'! "I c; Lk.<4
.. v
Owner's Name ~ _ ~ J~ A
Address /40 '10, Yf{~ &!'".cJi... '-na- 1)1;
\. .
Single Family
Commercial
Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Heating Contractor
Address
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 Surcharge on the bottom of this application.
Telephone #
Furnace Make & Model
...
Return Openings
Input
Edr.
Cfm.
Output
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical -'i::.-ft5
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
Model Size
Conn. Load
r,' Ie- ~~ House Heating Test Record must be submitted with buildina permit number before build-
ing certificate of occupancy will be issued.
Fuel
Flue Size
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.
Supply Openings
Other Devices
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
Alterations
Replacement
New Construction
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; tha.Ytt\~'ork will be in accordance with the approved plan in the
case of all~Ab(ch requires review and approval of plans.
TYPE OF WORK
STATE SURCHARGE $
TOTAL PERMIT FEES $,
Est. Comp. Date
. Building Permit # ~- ~ l , I/J
") <1 .s
.50
40.dO Receipt# J" j.lf
<'P~liC t's S' ~'
Ignafure
( .
~. ....r/
V'-- 109 OfficaFs Signature
/-II-qr}
~
1/ Ill;;
Date
Repair
Est. Cost $
HEATING PERMIT FEE $