HomeMy WebLinkAboutMechanical Permit 00-0854
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City
Contractor
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TYPE
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MC
Permit No.
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E.
Prior Lake, MN 55372
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Multi-Family
Other
Two-Family
Single Family
HEATING APPLICATION I PERMIT
2.50047- oz..
Public
1 % of job cost ($39.50 minimum)
$99.50
$39.50
$39.50
$64.50
$39.50
Industrial
Fee Schedule
Heating & AC
Heating Only
Gas Fireplace
Addilions & Alterations
AC Only
Commercial
Industrial, Commercial & Multi-Family
Residential
Residential
Residential
Residential
Residential.
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PID #
579:.0
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/:50 -I-l ST
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Sile Address S7~O
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Lot 22. ti~
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Heating
Contractor
Owne(s Name
Address
Date
-
Address
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with bui!din9 oermit number before build=
ing certificate of occupancy will be issued.
inspection
final
AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
L3.,b~
1-
Telephone #
Furnace Make & Model
Model Size
Conn. Load
!::!..EM Q8! ULATIONS 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 ,eturn 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.
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Flue Size
Fuel
Supply Openings
Return Openings
City Hal 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) _
447-9850 447-4245
business hours are 8 a.m.
Steam
Hot Water
Radiation
Output
Input
Edr.
CALL CITY HALL
Special Devices
Other Devices
fI',j -w (,Li) 5L.-S~
TYPE OF WORK
Gfm.
00'2.'1' Hf~~
(952)
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; ~ work will be in accordance with the approved plan in the
case of work wllich req':lires review and approval of plans.
rJO
Fax:
(952)
Phone:
J
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New Construction
Replacement
Est
%/
Aile,ations
Est. Cost $
Repair
32> 4+3
Receipt #
50
6D
39.
'()
HEATING PERMIT FEE $
$
$
STATE SURCHARGE
TOTAL PERMIT FEES
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,~ J OAt TIME
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2 '.30
~lt>O
VSS;)~
ADDRESS
"
OWNER
CONTI~.
.
PHONE NO. PERMIT NO.
D FOOTING D PLUMBING RI D EXlGRAD/FIi\ING
o FOUNDATION fJ 0 MECH RI ~ 0 COMPLAINT ~
o FRAMING 0 WATER HOOKUP ~ )!;(FIREPLACE RI ".,
~NSULATION 0 SEWER HOOKUP ['] FIREPLACE FINAL
D FINAL D PLUMBING FINAL D GASLlNE AIR TST
o SITE INSPECTION D MECH FINAL D ( 1...) F: P ,
COMMENTs([) ~ o.-e..e ~~
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L"".x:--o./~ FI', c:ri----.
o WORK SATISFACTORY, PROCEED I'
'fi CORRECT ACTION ANO PROCEEO
o CORRECT WO , CALL FOR REINSPECT ION BEFORE COVERING
Inspector:
(
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSIVOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHI:DULED
ADDRESS
::::,760
DATE TIME
98-0() 23&
OWNER
CONTR.
COMMENTS@ =f~ ..-Q.. .Ju..e.r ~
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PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION~ 0 MECH RI
FRAMING 0 WATER HOOKUP
~NSULATION ~t 0 SEWER HOOKUP
o FINAL t 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
.
~.Q ~
- 1:0"
t
I.QAJ
o EX/GRAD/FILL
o COMPLAINT
o FIREPLACE RI
/l)) 0 FIREPLACE FINAL
coJ~ASLlNE AIR TST
-p- OJ) -g~-
.-
,
3~
yA'
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WOR~LL FOR REINSPECTION BEFORE COVERING
Inspector: , Owner/Conk
CALL 447.9850 FOR THE NEXT INSPI:CTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR !'OUR PERSONAL HEALTH & SAFETY!
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