HomeMy WebLinkAboutMechanical 99-0155
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
40t.f3
.... .'
SCHEDU!:}aD . 4-: c1V
/
ertU (7~-/1-/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99-0/:5s-'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
@X ,PI/I!IVAUC
COMMENTS:
...... ).-
C)/'{
/' ~/ff?~J.
~
{/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/7lA
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
J.- 11.(/0
qq-f~-zJ
HEATING APPLICATION I PERMIT
Date .-; ~ ~ -gq PID # d.5" -c&1-(JO 7-0
. Site Address - '-10 Y ~ ~A') (LA, R \~A \ 1 flS!:>
Lot ~ Block. Addition 0r011 (~'r()(d 1fe.;~/J5:.
Owner's Name \/ \ \2-..(~ i L \\ ~ A \J J.\....\'-\ 1- ~ q 8 !
Address YO Y ~ f:.AU L LA, IZ \{Z..P,\L
Heating Contractor 12 ~ c..., \ D '=-~\ I Po..\ l-l C- i"-\ + A, K
~T ("
Address _ I ?\ l c:, (.. _. 1-\ \ 0 S \". ';) U iT~ A
iLL-) - ,g9Q
Telephone #
Furnace Make & Model .K..u dO
\.J (""i.Hj~f.f,,)(.~PE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
x
Model Size
h6.600
Conn. Load
Fuel f\j AI. ~Flue Size
Supply Openings
Return Openings
Input J< 6: 000 Output
Edr.
Cfm.
Other Devices
Alterations
TYPE OF WORK
:>< .
Replacement New Construction
Repair
Est. Cost $
Est. Comp. Date
QQ-fCJ5
.,
J:.- .
000
Building Permit # .
HEATING PERMIT FEE $ (; LI . c.., 0
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ h ~ t 00 Receipt # 34 1 ~l
..
9~
1. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family
Commercial
f<..-
Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
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 oermit 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
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 bUC e a permit until signed by the BUILDING
OFFICIAl.{.'t.hat the work:;{;ill e i ccordance with the approved plan in the
case of al(!.1 Y.. \1\ ork which re i s ev. ew and approval of plans.
~C;~ ~ - 3-'3~C(~
~. Applic,~n1's ~ignat~z ~ ' _ Da~~
~ 1 j I ':. 1-~ 3-Y7 '1
, uilding Clffical's Signature Date