HomeMy WebLinkAboutMechanical 99-1164
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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g WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
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o FIREPLACE FINAL
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o ~K SATISFACTORY, PROCEED
~'~~~ECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE Me '4 ...h{~0Y:"
16200 Eagle Creek Av. S.E. Permit No. ~
Prior Lake, MN 55372.,,::;r."i~;'c'
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TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
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Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
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
Address
Telephone #
Furnace Make & Model
Remember to add the State Surcharge on the bottom of this application.
Fuel
Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity REQUEST FOR INSPECTION
Mechanical SENT TO HOMEOWNER 1/03.
Air Conditioning - NO RESPONSE. CLOSE FILE
Vent. System _
1ating permit includes one rough-in and one final inspection.
1S will be billed at $35.00 each.
Record must be submitted with buildinq permit number before build-
:upancy will be issued.
Model Size
Conn. Load
Input
Edr.
Output
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Device} . .
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~evi6es -,
)NS 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
Return Openings
Cfm.
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
TYPE OF WORK
Est. Cost $ /6:::V - d-O
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit #
"3. q -0
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.50
,
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 a.U-w.ork.which requires review and approval of plans.
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Repair
Replacement
Est. Comp. Date
New Construction X
Alterations
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Receipt #
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