HomeMy WebLinkAboutMechanical 99-1082
CITY OF PRIOR LAKE
INSPECTION NOTICE
SC.HEDULED
~
DATE TIME
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ADDRESS
5~ Lf/. 52.. ~ 3 52. 45 '1.:< 3'.
,
,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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II) J 2.-.., Jq '1
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,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
}J\ MECH FINAL
-
~
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,
99-1 tJ?.:2-J
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~~~CJj-OS
J5 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE MC
16200 Eagfe'Creek Av. S.E. Permit No. 99-1082
Prior Lake, MN 55372 .
HEATING APPLICATION I PERMIT
September 1, 1999 25-357-001-0
Date .- .. - -^.~ "OtHP1Dt# .... ~ ~^~G"
ULl~~ ~ - J'~J L_ S. ULL~~ ~ - J'~ ~LL
Site Address Unit G - 5241 160th St. Unit H - 5239 160th
Lot 1 Block 1 Addition Hillsbury R4
Owner's Name Mesenbrink Construction
Address
~
Heating Contractor
Air Systems, Inc.
Address 9100 West Bloomington Freeway, Bloomington, MN
:;-'i:& ..:J 8 V t ~ 5b5"O
Telephone #
Furnace Make & Model
Janitrol
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size AWP 75
Conn. Load
Fuel Nat
Flue Size
5
Supply Openings
1 '
Return Openings
5
Input J ')000
Edr.
Cfm.
Output fiOOOO
Other Devices
TYPE OF WORK
x
Alterations
Replacement
New Construction
Repair
Est. Comp. Date
:jllL, UUU. Uu
3.000.00 lea Building Permit #
99-1082
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
120.00
.50
120.50
Receipt #
3(0055
at.
St.
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
Two-Family
Industrial
Multi-Family .
Other
x
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
Remember to add the State Surcharge 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 buildina Dermit number before build-
ing certificate of occupancy will be issued.
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,
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 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 ~;~~~;~oval of Plans~ // /r9
"P' ~'" S'.'1f.r;/.;~ 0ate
I~ ",~~) ,c." 9. //91
-"..;:",.
Building Offical's Signature Date