HomeMy WebLinkAboutMechanical 99-219
. DATE TIME
CITY OF PRIOR LAKE '+ -5 -G'i
INSPECTION NOTICE SCHEDULED IO:k;)
ADDRESS 64QS Wood lawn ~
- -
OWNER CONTR.
- - -
PHONE NO. PERMIT NO. '19 -Uq
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o FOOTING pr ~ PLUMBING RI .fiII:f' o EXC/GRAD/FILLING
o FRAMING MECHANICAL o LKSHORENVETLAND
o INSULATION o WATER HOOKUP ~ o COMPLAINT
o FINAL o SEWER HOOKUP o SEPTIC FINAL
o FOUNDATION o SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREVo o SITE INSPECTION
COM MEN'
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o CORREC
o CORREC
Inspector: Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.
File
City
Contractor
Pink
Green
Yellow
I.
2.
3.
FSTRUCTURE
TYPE
MC /YJ
Permit No. L1~{ - ~lq
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E.
Prior Lake, MN 55372
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.
~
~
$39
Public
.X Two-Family
Industrial
Industrial, Commercial & Multi-Family
Residential
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
Single Family
Commercial
Fee Schedule
Residential
Residential
Residential
Residential
HEATING APPLICATION
Address
Remember to add the State Surcharge on the bottom of this application.
final inspection
heating permit includes one rough-in and one
inspections will be billed at $35.00 each.
The price of your
Additional
building permit number before build-
House Heating Test Record must be submitted ~th
ing certificate of occupancy will be issued. '
OOTYPE OF SYSTEM
Warm Air Plants _
Gravity
Mechanical _
Air Conditioning~
Vent. System
Heating
Address
Telephone #
Model Size
Conn. Load
Fuel mfuraLFlue Size
HEAT CAli LATIONS 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
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
tpll
~
Supply Openings
Return Openings
Input /ODJOOD Output
Edr.
447-9850
I hereby apply for a mechanical systems permit and 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 all work which requires review and approval of plans.
Other Devices
TYPE OF WORK
Replacement X
Est. Comp. Date -3-
oA
Cfm.
Alterations
Repair
<i
Building Permit #
SP
50
Receipt #
o.
*
~
HEATING PERMIT FEE $
$
$
/...1
STATE SURCHARGE
TOTAL PERMIT FEES
Cost $
Est.
Job Address PI 1.5.... 46oJ/4 (./ ,.V C/o"
Heating Cont.-, vrt:1. A:&( M
~~e of Tester ___
;j-r"'~8'" tJ ()"I cr J - ) I~' r
<;
tp
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Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequatelvupplled per
UMC Sec. 606 ./
Input /t?&I~
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