HomeMy WebLinkAboutMechanical Permit #00-0149
'i~~ PH/Cl,/j' <i\ CITY OF PRIOR LAKE Me . .-
,0 ~ 'l'f;.l 16200 Eagle Creek Av. S.E. Permit No. eo ~ Olt/f
\ ~ ) Prior Lake. MN 55372
~ HEATJNG APPLICATION I PERMIT
Dale 3-1s--I''YJ PIO' 25-03iR- O()(P-o
SIt9Adclress /5;)5'9 ~~ ffA.L) }e..r50
Lot & Block Add. ion ;t1/lPL& PftteK- 6fflK.-5 /i&e-t:.:S
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TYPE OF STRUCTURE;
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1. Glon
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Colttuclor
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Single Family
Commercia.!
Two-Family
Industrial
Public
Multi-Family .
Other
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Indus1Jial, Commercial & Multt.Faml~
J 1 % 01 lob cost 1139.50 mioimJm)
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Fee Schedule
Ownats Name
Conn,load
Fuel~
S upp ly Openings
Return OpeniAgs
fnpul Output
Flue Siz:e
TYPE OF SYSTEM
Warm Air pjants
Gravity
Mec:han[cal
Nr Condilionlng
Vel'll. System
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Address
Heating Conlrador ALL lED F IRES IDE db a FIRESIDE CORNl
Address 2700 N. FAIRVIEW. ROSEVILLE. MN
Telephone". 6 5 1 - 6 3 3 - 2 5 6 1
FtREPLACE J)
~ Make & Mod&1 .KJ,I/2.d III (; 6
Model Size, bet>:) ~
55113
HEATING on POWER PLAN'
Steam
Hot Waler
Radialion
Specral Devices
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il'" supply
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APPUCATlONS MAY 8E MAILED TO THE CITY OF PR10R lAKE, t6ZOO EAGLE
CREEK AVE. S,E. PRIOR lAKE. MN 55372,
City Hall business hours sri! 8 8.m.. 4:30 p.m.
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Other OGViC9S
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ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL). CALL crrv HALL
447-4230
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TYPE OF WORK
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I hereby apply for a mechanical $ystems permit and I acknowledge that the
lnlormation above Is c()mpleta and accurale; thallhe work will be ill conformance
wilh Ihe ordinances and codes of Ihe city and wilh Ihe stale building/mechanical
codes; Ihel thIs form does not become a permit unlll signed by the BUILDING
OfFICIAL; fllat tile work will be in accordance wilh the approved plan in lhe
case " WO~k which, requires review and approval of plans.
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3/z:stOO
BuildiOOOrrical's Sionalure r o,te
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Meratio AS
. Replacement. New Construclion
Repair
. Est. Comp, Dale
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Est. Cosl S 1/ rD. OJ
Building Perm. ,
39.50
.50
40.00
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HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
RsCBlpl1#
37/0/
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
15Z.5~
SCHEDULED 3j ''1 Iv, A.I;
~f~ 6M~5 TR- r
OWNER
CONTR.
00- (Lf., - F; f'~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
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