HomeMy WebLinkAboutMechanical 99-1363
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
/2/1 /qtj 9.'3I!J
306~ W/L-05 ;et066 er
CONTR. ~.
PERMIT NO. q q - /3 &3
SCHEDULED
0' .
ADDRESS
OWNER
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
~ PLUMBING FINAL
1] )(MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
81/-G "354
. he... '^
I t-..,q (' ..!
· 0
?WORK SATISF,ACTORY, PROCEED
o CORrfjRA N AND PROCEED
o CORR CT i ' CALL FOR REINSPECTION BEFORE COVERING
Inspectc~:/ , Owner/Contr:
C~ J7jS50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq - /363
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date flIp, /qq PID#. 25- ?b3-007-0
Site Address ODBl.P \AI, L,b~ 12, ~~ Q:::r t\./Il 'I
\1J I t...P ~ ~R \0 Ei f": C;r J .'J1.
~Q APPL a ~tJb
~r~~.
L'-( jJb~
1/1/
HeAT f-f5U>J9?-Y TYPE OF SYSTEM
"6 NT I ,-P\ TO"-. Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
Lot Block
Addition
1-k-tJ-.~ b uL-
Owner's Name
Address . &~ Lo
Heating Contractor
Address .:J.tp"5 e,
Telephone #
PJl/
EurRl!Il'.:fl""Make & Model
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
664b $Z,
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Alterations
v
. Replacement
TYPE OF WORK
New Construction
Repair
. Est. Comp. Date
Est.Cost$ 44~~,nn
HEATING PERMIT FEE $ -3 q . b D
.50
40.00
1z./ooICiq
9?-/303
Building Permit #
STATE SURCHARGE $
TOTAL PERMIT FEES $
Receipt # --.:3(0540
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Conttactor
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 I:
$39.50 ;..~' NOV
$39.50 /' I '1989
$39.50J \
I
;
~ ),
--,1../
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 buildinq 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
447-9850
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
caseof::;;;:7~i;~:a10fPlan:/ //9/99
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