HomeMy WebLinkAboutMechanical 99-0873
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
}
ADDRESS
1;412-
CANOY CcVf:
OWNER
DATE TIME
JO -/5-ti1
tf-r
-
ilL
PHONE NO.
CONTR.
PERMIT NO. ~- ~73 ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~UMBING FINAL~
o SITE INSPECTION /~ mECH FINA~I ft/
COMMENTS: It c ~r
- I
;\)~ .(((J~ (~~)
~ c/A. ~ .t7~O.;. ~._~
Ai &It-.! J . ()
~~
// f/.( if/}-:U?- -;?r--& Y)
~~-- -_/'
/
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: fJ}, Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
TYPE OF SYSTEM
Warm Air Plants
Gravity Additional inspections will be billed at $35.00 each.
M.echani~1 :- _ K.._ 'r".... House Heating Test Record must be submitted with building oermi\ numbe~ before build-
Air CondltlOnm~"'>t-f-S.x.J""'AJ)t050 _ ing certificate of occupancy will be issued.
Vent. System q>.S J()JJ
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 OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. 99- B73
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date ?-I,';). - '17 PID# 2.5-02..7- 0/3-0
Site Address S1-/ 7 ~ & ~'" C!..o tJ<?.. I ~ t / 1<?/:50
. I
Lot /fJ/1'9 Block Adcti1kw CAN lJV ~ov6 PI"lAe/:::...
Owner's Name ~ Q...A..h...J.. t-{ I ~C C, "2 ~ ~ €{
Address ~ l.j '7 ~ (V l4--lI\ J-L r 1!JJ e '( t2.A ~( I
Heating Contract~LL~YlS l? ~/III 'i' \1, ~ "1"'1 VI..,,~ I4-I.Q
O. 'OJ
Address 1d.4 ~I J;:< kv~ 7sl~" 1 Av e 5~ S'M46 E?...
to I&- ~c,l/ ooo~
Telephone #
Furnace Make & Model
Model Size
Conn. Load
Fuel
Supply Openings
Flue Size
Return Openings
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Input
Edr.
Output
Other Devices
Cfm.
TYPE OF WORK
Alterations
Replacement ~
(
Est. Comp. Date .
New Construction
Repair.
Est. Cost $ Building Permit #
HEATING PERMIT FEE $ 3 C;. S- 0
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ ~l) c!)~ Receipt #
qq, 8'/3
35(058
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
V"
Two-Family
Multi-Family
Other
Industrial
Public
Fee Schedule
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
Il:':l~
"- $39.5~
---
Remember to add the State Surcharge on the bottom of this application.
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
The price of your heating permit includes one rough-in and one final inspection.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
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 wiil be in accordance with the approved plan in the
case~ w~ which requires review and approval of plans.
vYs:;:j/~grxJ~ ' 7-/ ~ 95
/ ~S~ 7/;:;;/qq
Building Offical's Signature / Date
9f' (J~f~