HomeMy WebLinkAboutMechanical 99-1219
DATE TIME
CITY OF PRIOR LAKE
r INSF.cCTION NOTICE
ADDRESS
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SCHEDULED ~
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
9et-1 '1-1 t::t
,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
,.2' GASLINE AIR TST
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COMMENTS:
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XWORK SATISFACTORY, PROCEED
. 0 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 & SAFETYl
INSNOTI
Date IV''1--' , PID# ZS-o:::t4- - 077- CJ
Site Address.7;j3;::;' ~~,~L 2tY.
Lot '37. Block . Addition q i2E..6rJ-H E 1<:1 H..L:::;.;
Owner's Name l ~ht-.J f1 f I fz I~
~~ r-P--VS)~.9\ , 'jy.
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Address
Heating Contractor
Address
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CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. qq - /2-/1'
Prior Lake, MN 55372
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
/'
Two-Family
Industrial
Public
Multi-Family
Other
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 .a;j - 7 1m
C $39.50
$39.50
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VI-I L..,11VMUL.L. 1I1L1 -.11 I, U1v.
2619 COON RAPIDS ROl!! I="v....Rn
COON RAPIDS. MN 65433
Telephone #
Furnace Make & MOdel-r:e..~~
Model Size "-.JTC-\r)D~ ~ '6 k
Conn. Load
Fuel '-.:a-t- <. CD Flue Size
U
Supply Openings
Return Openings
Input ~pbD
Edr.
Cfm.
Merations
Repair
Output
Remember to add the State Surcharge on the bottom of this application.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
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.
House Heating Test Record must be submitted with buildina permit 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
447-4230
Other Devices
TYPE OF WORK
Replacement
Est. Comp. Date
J
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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 rmit until signed by the BUILDING
OFFICI he work will be in cordan e with the approved plan in the
all work hich require. view and proval of p~ans.
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Building Offical's-sfgnaWre. I D'te -
Est. Cost $ . Building Permit #
HEATING PERMIT FEE $~ ~9.SO
STATE SURCHARGE $ .50 .....
TOTAL PERMIT FEES $._ ~ Receipt #
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New Construction
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