HomeMy WebLinkAboutMechanical 00-859
DATE TIME
CITY OF PRIOR LAKE
INSPECTION-NOTICE
ADDRESS
S 2-71
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eA-tJOY CadiZ" 112,
SCHEDULED
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PHONE NO.
CONTR.
PERMIT NO. 0 - 8 ~ 9...
110 /lJU , ,oJ
@J 0 PLUMBING RI r (Vr ' ~ EX/GRAD/FilLING
~MECH RI~. 0 COMPLAINT
o WATER HOOKUP ~~IREPLACE RI
o SEWER HOOKUP @) 0 FIREPLACE FINAL
o PLUMBING FINAL ~ GASLlNE AIR TST
o MECH FINAL 0 '
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:n ~ ~
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b WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION / PERMIT
Date @;SIlpA _~P~()O PID#-d~ - tJC;.CJ{-D
Site Address ,5"P.-7Q ~~tP, ~(),/ I Fee Schedule
Lot +- Block j . Addition~.d M~~ -fb,~ Industrial, Commercial & Multi-Family
t. ' OJ YJ1u.nCJ?..J)t6sidential, Heating & AC
Owner's Name /J.(} I Vt ..) rJ lit R 'd t' I H t' 0 I
. . - . . eSI en la , ea Ing n y
Address -I~7Cf t!awl..y It;/JI'~ -r;.! Residential, Gas Fireplace
5- I t- I"~ A J I '~ ~\ I J - Residential, Additions & Alterations
Heating Contractor . 'V' fJ-S I t ~ IJ VIA Y /'1""/ U '- yeS ~ Residential, AC Only
Address. ~~5/J Wr tfWJ,1 ,!~ jJttr~){/( 1/t/ }tI1t/,
tt5"~-t'q()-07~
Telephone #
Furnace Make & Model /feuf-J1)-61p
Model Size --li.J'dtl tJT'elAlP.
,
Conn. Load
Fuel -11/ r:;
Flue Size
Supply Openings
Return Openings
Input "?t){)OC) Output
Edr.
Cfm. 160
Alterations
i/
Repair
Est. Cost $ -.:J..of'JCJ
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
fJ..-fl( R€'{
~,'hB
TYPE OF WORK
Replacement
Est. Comp. Date
AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
New Construction
rJcY-2. (do
Building Permit # .
~ c;,5O
.50
LlO ~ otJ Receipt # ~ <)' ilL! 9
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1. Pink
2. Green
3. Yellow
File
Cily
Contractor
TYPE OF STRUCTURE
Single Family
t/
Multi-Family .
Two-Family
Commercial
Industrial
Public
Other
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application,
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 buildinq permit number before build-
ing certificate of occupancy will be issued.
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 Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447-9850
Fax:(952)447~245
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
casa of V:::JJ;;"i:i~d approval of plans. . ~~ t
,/:AP.. pli~s ~naf\"e -. ~te ~
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UUilding Offical's Signature Date