HomeMy WebLinkAboutMechanical Permit #99-0046
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS I ~ e 5 .4 \.J ~ te.vV\t5S ---r tl.-
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99- q(;- PiP
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o EXC/GRAD/FILLlNG
o LKSHOREANETLAND
o COMPLAINT
~EPTIC FINAL
FIREPLACE
o
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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File
City
Contractor
Pink
Green
Yellow
1.
2.
3.
TYPE O_E_STR
Permit No. err -00 t{(,
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E
Prior Lake, MN 55372
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Multi-Family
Other
Two-Family
Single Family
Commercial
HEATING APPLICATION I PERMIT
25" ~ -S\~
Public
Industrial
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PID#
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Date
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1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Fee Schedule
Industrial, Commercial & Multi-Family
Residential
Residential
Residential
Residential
Residential
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
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C1
Addhion
Heating Contractor
She Address
.J.L
Address
lot
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Address
Remember to add the State Surcharge on the bottom of this application.
heating permit includes one rough-in and one final inspection
inspections will be billed at $35.00 each.
The price of your
Additional
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
building I2.WD.i1 ~ before build-
TYPE OF SYSTEM
Warm Air Plants
Gravity _
Mechanical _
Air Condhioning
Vent. System
5
Furnace Make & Model
Telephone #
Model Size
Conn. load
J:iEAI 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.
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
Flue Size
Fuel
Supply Openings
Return Openings
City Hal 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)
business hours are 8 a.m.
Output
Input
Edr.
Cfm.
...
CALL CITY HALL
Other Devices
~~ F-~
447-4230
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 ork which requires review and approval of plans.
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New Construction
TYPE OF WORK
Comp. Date
Replacement
Est
Alterations
Repair
15~
!k~
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Receipt #
Building Permh #
. 'X)
50
CO
40
Cost $
HEATING PERMIT FEE $
STATE SURCHARGE
TOTAL PERMIT FEES
$
$
Est.