HomeMy WebLinkAboutMechanical 99-1088
CITY OF PRIOR LAKE . ~
INSPECTION NOTICE SCHED!JLED 9/..3hez /.'3tJ
I '
ADDRESS /4/2CJ ()RC!rrR.eLJ elle.....
DATE TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q9 - 108?;
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAV2'J! 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL ~ ~ ~(lJf!N/1~e;
COMMENTS: ~ ~ ~.-
/7 ,# -+-,... lJ r, J
~ ~ -i.-('P-., )2. ~
~ hr\/. f)
() ~ b"'1
~~
~l-
~_h1..
~-IJ::., r--
~
~ d'?1. )l-t....
, #u
~~
/
IWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W;3RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f7:)..., Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
...-l
C.
c.
~
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. .jJI..:J0f36
Prior Lake, MN 55372
HEATING APPllCATION I PERMIT
Dale 9 - 1 - ~ 9 PID!II 12.<:)..- 2.07 --co 3-0
Site Address 1"'/ /2....0 OrChq,.A~' rc/c..
lot ~. BIad( ( Addition TI.JPA.5 I ~
Owner's Name IJ? r f.Jn r; k / JrI
Address
~
..:
...J
~
o
....
~
p,..
~
o
;;...
p
....
~>
Heating Contractor /?u Q J.' t.J H~; na. ~e ru ; CE'5 In c..
12.112. Vco ^+ura... ~t'll.a' 7- ~ht>...tllfoPJ m.J
Telephone' .t{ [) .3 - I , , t)
<: at<(', 'l r
Furnace Make & Model _ t;"J'W AliI /I-L
Address
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Coiidil ioning
Venl. System
HEATING OR POWER PLANT
Steam
Hol Water
Rad iallon
Special Devices
Model Size
Conn. load
Fuel Np...f(,l.f&J.. .Flue Size
~ ;'/
Supply Openings
/9 )( 19
IS-X2V
OUlput ~ 9. 000
II?
""l'
IN
...,.
1-
""l'
""l'
C".~
...-l
<0
Re1urn Openings
Input //0,000
Edr.
01 her Devices
Clm.
~
..:
~
A~erations
TYPE OF WORK
Replacement ~ New Construction
Est Comp. Date
<0
C
..
...,.
...-l
Repair.
Q
~
it
Est. Cost $ . / 7 t,t; _ 00
/
HEATING PERMIT FEE $ ~U" ~'.50
.50
~ Receipl'
'4o~-
3o~1
j
Building Permil ,
0>
0>
.......
...-l
C
.......
0>
C
STATE SURCHARGE S
TOTAL PERMIT FEES S
TYPE OF STRUCTURE
1. Pink FLk
2. G=a ei1)'
). Y~llDW - Contracll>f
Single Family
Commercial
.......-
Two-Family
Industrial
Public
MuUi. Family
Other
Fee Schedule
1% of job cost ($39.50 minimum)
$99,50
$64.50
~
$39.50
Jndustrial, Commercial & Mulli.Family
Residential r Heati ng & AC
Residential, Heating Only
Residential, Gas Fireplace_--_
Residential, Additions ~1'lS~"
Residential, AC Only ~
S~371
Remember to add Iha State Surchafge 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 $35.00 each.
House Heating Test Record must be submitt&cl with buildinq l2mmil.numbpJ: before build.
ing certiiicate of occupancy wm be issued.
HEAT CALCULATIONS REQUIRED with number of supply and relUrn openings listed per
room with CFM's per opening. New structures or additions send Door plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. SE PRIOR LAKE. MN 55372,
City Halj business hours are 8 a.m. - 4:30 p,m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL.) - CALL CITY HALL
....7--9850
I hereby apply for a mechanical systems permit and I acknowledge that the
inlormaUon above is complete and accurate; thai the work will be in conformance
wilh the ordinances and codes of the city and with the slate building/mechanical
codes; that this form does not become a permit until signed by the BUilDING
OFFICIAL.; Ihat the work will be in accordance with the approved pian in the
cas~ work wh;c.P-Mlquires _ie" end approval of plan,.
~J~ ~-) Pt"~~;d~rJ- q -/-91
.f4c;n~ / v aLLO~t9
-f.-!E+late
J 91,,/o1Z
.. Oualitv Heatinl! & Air Scrvices. Inc.,
612403-1110
..
APPLIANCE PERFORMANCE TESJ:
ADDRESS/i'/2c ()~t'J A-AQ ~
Tester .$ A:M..y -rfgs
Date 9 - .3 -- 9 9
Pc.'cent 02 7. 7
PPM co ,+/
Pcrcent C02 '/, S-
Stack Temp. .3 7/
"