HomeMy WebLinkAboutMechanical Permit 00-0373
Oualitv Heating & Air ;en'ices~ Inc.
612403-LI0
APPLIANCE PERFO~ MANCE TEST
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CITY OF PI<IOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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o CORREC
o CORREC
DATE TIME
SCHEDULED
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54-0<1
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CONTR.
PERMIT NO.
0-"373
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
V\ 0 )'tUMBING FINAL
/\ 'lS( MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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I F CTO RY, PROCEED
~ NO PROCEED
OIK, C fLL FOR REINSPECTION BEFORE COVERING
Inspector: \... J Owner/Contr:
CAL . 447-9b50 F)R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODi;.,REQJREM fi:NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
V INSlVOTJ
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. ()O -03.13
Prior Lake, MN 55372
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HEATING APPLICATION' PERMIT
Dale 5 -}A-oo PID# Z6-0f,t,- ()Oe>-O
S~e Address '6109 1'/0 tl, Sr. N L R-(
lot ..tL BIocl< Addition NOK:7ll .$#tJee OIfJ::S /~T A-OPN.
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Owners Name Nil ,J c v Lid 0 VI SSle
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Address '/ t) 9 / '/0 . Sf: 1'1. E
HeatingContractor O"Ar.*", )/~A+'~",- J 1J,r S,,(v;<A5. <.L",c...
Address /29/2 V",,.j-T,,(A CourT SuA" 2-1
T~I~r"nn~M 9<2 - t./o3-J//O
Si1A-k"d?e<
Furnace Make & Model ~('
~1i/lo3~-lli
Modal Size
TYPE OF SYSTEM
Warm Air Plants U f01>i<! .f".",..d'R..r
Gravity
Mechanical
i3 T'u
Conn. Load ) / () , 0 DO
Fuel NAt-, (,.~5 FluE> Size
Air Conditioning
Vent System
HEATING OR POWER PLANT
Steam
Hal Water
Rad ialion
Special Devices
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Supply OpE>n;ngs
1$~X)9"
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Output {3 9' I 006
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Alterations
TYPE OF WORK
Replacement ~ New Construction
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Repair
Est Com~. Date
Building Permit II (]7) - () $7 S
0f,6~~p J $9..5"1) I
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Est, Cost $
HEATING Pf:RMlT FEE $
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STATE SURCHARGE $ ,50
TOTAL PERMIT FEES $. ~ Receiplll 37 ~ => ~
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TYPE OF STRUCTUR~
t. Pink
2. GrecCl
l Yellow
Flk
Cit)'
CoR.trwo:t
S Ingle Family
Com merel al
Two-Family
Industrial.
Multi-Family
Other
Public
Fee Schedule
Industrial, Commercial & Mulli-Family
Residential, Heating & AC
Residential, Heati ng Only
Residential, Gas FI replece
Residential, Additions & Alteralions
Residential, AC Only
1 'k of job cost ($39,50 minimum)
$99.50 ~
$64.50
$39.50
~9.50 -;
$39.50
Remember 10 add the Slate Surcharge on the bottom of this applicaUon.
The price 01 your heating permit includes one rough-in and one final inspection.
Additional ins~ections wi II be billed at $35.00 each.
House Heating Test Record musl be submitted with buiidina IlmDiI number before build-
i ng certificate of occupancy w;il De issued,
t!fM CALCULATIONS BfDiJlRFI'l w~h number 01 supply and 'elum o~enings listed pel
room with CFM's per opening. New struclures Of additions send loor plan with supply
and ,elurn 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 65372.
City Half business hours arE> B a.m. . 4:3(J p.m,
ALL WORK MUST BE INSPECTEC (ROUGH-IN AND FINAL)- CALL CITY HALL
447-9850
I hereby a~ply lor a mechanical systems ~ermit and I acknowledge that the
intormation above is com~lete and accurale; thaI lhe work will be in conformance
with lhe ordinances and codes 0/ the city and wilh the slale building/mechanical
codes; that this form does not become a permit until signed by the BUILDI NG
OFFICIAL; that the work will be in accordance with the approved ~an in the
case of all work which requires review and approval of ~ians.
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