HomeMy WebLinkAboutMechanical 00-0484
CITV OF PRIOR LAL
INSPECTION NOTIC E
DATE TIME
ADDRESS
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SCHEDULEO SI-'/Ol //.''50
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V
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ - 1?<{
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Ji!I FINAL
o SITE INSPECTIO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: J \ . C. .
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~ WORK SATISFAC rORY, PROCEED
o CORRECT ACTIOII AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
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CALL 447-985C FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIRJ 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 61J-tJ"'IY4"
Prior Lake, MN 55372
TYPE OF STRUCTURE,
1. Pink
2. Green
1 Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT
Date (9-\~-rD PID#....dS- .SL(C(- 01'1-0
SheAddress lj5~~ ~llmm'i no. 'ol'f'ri Tr N. E.
Lot ~ B;OCk::< Addhion J:;, Y"U~I ^ rei. A{f1N
Owner's Name \30\..") Sc- .h YY\ i r\-\.-
Address l(Sbl.'3 ~l) mVl'\'1 no. hl'r"i'i 17-_ 10..1, F:
Heating Contractor \~::llfn""'\i\ \\ 0 ~.er!-..-~ +- ~I C
Address \;l\.\<)/ l \Lh.o~\. \L. \s-,\o...n.d r1JCc..S-
CYr'::JI ^" _~ ".--
Jelepnone # l\,-I '-11 )( I) \.,
r'JI.e<io Make & Model H(U ('.JTt-
Model Size 6Gb A-r\J )( ~).~('"
Conn. Load '?, 10 , An()
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Cfm.
Output
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condhioning ~ :3, ~oN..
Vent. System
HEAllNG OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Aherations
Replacement
TVPE OF WORK
New Construction
x
Repair
Est. Comp. Date
Building Permh #
(5TJ - O~$(4
Est. Cost $
HEATING PERMIT FEE $ 30, 57)
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ L.J 0 ,00 Receipt # ;:z:., '1 h 7 b
Single Family
Two-Family
Industrial
CommerciF I
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential. Additions & Alterations
Residential, AC Only
Public
Multi-Family _
Other
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50 JUN I 5 2000
$39.50
C$39.5o. ?
Remember to add the State Surcharae on the bottom of this aoolication.
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 huildin'l ~ !ll!!!l!lm: before build-
ing certificate of occupancy will be issued.
HEAT eAI elll ATIONS REOUIRED 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, P1YMENT 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
case of all work which requires review and approval of plans.
~",~;, .f:M/d:J
. ApplicaJ1)"Sign ture .
....f/ . ~
uildiriil' OffiC7 'gnature
(p-j;).. -cz:,
Date
bli;;{./O
r Date
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