HomeMy WebLinkAboutMechanical 99-1324
ADDRESS
/44--/~
DATE TIME
SCHEDULED ~ ~;30
W,LJ 16if!5" EVGt 6
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJC}-1324--
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 A
o MECH FINAL I ~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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CQM"'ENTS:
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. ~ORK SA TIS CTORY, PROCEED
. 0 CORRECT AC I PROCEED
o CORRECT W . CALL OR REINSPECTlON BEFORE COVERING
Inspector: -r-- Owner/Contr:
CALL 44....-9850 ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REdulRE~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~\]- INSNOTl
~~~ P~~<y CITY OF PRIOR LAKE
fJ. ~ 16200 Ea.. CreekAv. S.E. P8lmitNo. CJ9-/3Z4-
Prior Lake., tIN ~:..5/~
HEAllNG APPLICATION I PERMIT
Dale II h I~ 1 PID' 25-/19-cZI- 0
Site Addr&S$ I <!JJ..LG LJ ~ r QJ. (0 1'tq i C. te-/ S P
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Lot 2-5 Bbck Addilbo.' i30UO/A/S HffNO/2..-:
0wneI"s Name (l 0 ~ 1- ~ r s-{ ~ r f'...P-..
Address 14 L/ / ro -Lv ~ S .6' cO Cj.... 'i '(fA ~ r..-
Healing ContraClOr ('V\.C'J./tLOlu€. ',5; "~{'ru'<::. -f f...iI't,
Addf8SS 0 })). S ($Lc \) (V\ 'n 51' c,-J .,41J-f( S - r(; c H f'e C 0 f"-\ r
TeJePtoneJ ~ ( L ) 8 b c;- II ~ g s.S'tI J. 3,
, .
Furnace Make & Modell+~c oC\ (rJl- TYPE OF SYSTEM
F\ C' 7 c ...... Warm Air Plants X
Model SIZ8 ~ t-J C- 1:> ~ 7 S~ 0000./ U Gra'liy .
Conn. Load 'S' t. 'S (;) c Mechanical
~ ' II r Ar CondIioning .
Fuel N 0\. I FlUe Size ~ \'> ((If( fA.. Vent. SysIem
HEATING OR POWER PlANT
Steam
Hot Water
Radiation
Special Dewic:es ,
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Supply Openings
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Re1Um Ope~ ..
Input 7S / 00'0 OuIput ~o
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Aterations
Replacemert
.,I".:.OFWORK
Est. Camp. Date
EsI. Cost $ J.., / 0 () , 1:> 0 Buting Permit II
HEATING PERMIT FEE $ ..3 9.50
.50
TOTALPERMrrFEES $ +O.tJO
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Repair
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STATE SmCHARGE $
>< New ConstruQoi1
'1/////71
99-/32-4-
Receipt.
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TYPE OF ~n,UCTURI;
t.1'I* File
2. (Mn - City
3. ~1l1I' - Cu_l..
Single Famly
CommolCial
x
. Two-Family
In(bdrial
Public
MQti-Fanitf
OIher
F&e Schedule
:ol' Industrial, Commercial & Mul11-Family
Re$idential, Heatng &. AC
Aesldentlal. Heaton Only
R..,,: :., llal. Gas FNOp!ace
R _~; ~ ",ntiaI. Additions & Altenllions
Residenlial. N:; Onl1
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
R;,;. .. , ,ber to add 1110 Stale Sm:harge on the bottom of this appllcati(JD.
The price of your heating permit Includes one rough-" and one final i....I'.....liDn.
ActI1ional inspadiDns will be bilecl at $35.00 each.
House Heating Tal Record nust be submitBI wilh buiklinq RJ[IDit r:u:nbIl: before bui~
ing ~ertlfica1e of occ~ncy wll be Issued.
HEM CALCUU.TIONS REOUIRED with nuriler of supply and re1Um openings isled per
IlOOm MIh CFM's per qJemng. New structures or additions send 1Ioor pIBn with supply
and NIUn Ioc8Iions shown. HEAT WSS CALCUlAI'IONS, PAYMENT AND
APPUC....... .15 MAY BE MAILED TO TIE CITY OF PRIOR LAKE. 16200 EAGLE
CRE8<AVE.S.E. PRIOR LAKE. MN ::J:I.j/,-
CIty Hall bl,,; , ""'''' hOLWS are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-It AND FIIAL) - CALl. CITY HALL
447-4230
I hereby apply for a mechanical systems permit and r acImowledge that ltIe
information abow i8 complete !UId accurate; that the work will be .. conformance
wUh the ordinances and codes of the city and with the state buildinglmechanical
codes; that this form docs not become a permit until signed by the BUILDI NG
OFFICIAL; that the work will be in accordance with the approved plan'in the
case of all work which requires review and approval of plans.
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