HomeMy WebLinkAboutMechanical 99-1015
TIME
DATE
CITY OF PRIOR LAKE '" ,..."../,.._
INSPECTION NOTICE ~HEbl1l:-ED ~
ADDRESS 15.3(.(P Red ooJu R..d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
)t"MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: 'FU.AvtI)..CL.., -- dL
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o ~RK SATISFACTORY. PROCEED
I!I'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. C;:::l-/Ol.s-
...., . .
Prior Lake, MN 55372
_ HEATING APPLICATION I PERMIT
Date ~ - t ~ ---C:1 cr ,() PID # 25-042 - 0/ (p - O/J
Site Addr~ss \ 5 :::> lo ta ~ ~ f)C'~ K C"n~
Z0"! . , \
lot 2-7 Block Add~ RED O/l~ /€/so
Owner's Name -A \ ( u ,-to', ~ A .
Address l.~2>bl~~d ~ -KmN
Heating Contractor ~ \ r, \ -f-..\~.;> -r r\ t
Address 1<1:L~ \ k,) . c-fS\__).__^'~
Telephone # 2UJ q. -l 4 [ l..
Furnace Make & MOde~~wW TYPE OF SYSTEM
:)J:~ ~MA'1f"'..1..t ,""\- ~ I 1'\ Warm Air Plants
Model Size...J J,.....JI v\..J ""t:t:l() '(:) \..) Gravity
Mechanical
Conn. Load (\ A' Co d" .
~..l U Vr It). Ir n itlOnlng
Fuel nm .1X>tS Flue Size '1 L"1' I r~ent. System
Supply opW HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Return Openings
InputkD~.Output5h .C'I:::D
, - ,
Edr.
Other Devices
Cfm.
Alterations
TYPE OF WORK
Replacement :xl New Construction
r " d
Est. Comp. Date cs. -2.{) - Cf q
9CJ -/01S-
Repair
Est. Cost $
Building Permit #
~q.Sn
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
YD . C"D Receipt #
3588/
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Conlractor
Single Family
Commercial
y
I \.
Industrial
Public
Two-Family
Multi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family 1% of job cost ($39.50 minimum)
Residential, Heating & AC $99.50
Residential, Heating Only $64.50
Residential, Gas Fireplace $39.50
Residential, Additions & Alterations $39.50
~ * L\) Residential, AC Only $39.50
~ Remember 10 add "e Stale Surcharge on the bottom of Ihis 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 puildinq 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
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 will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
\'-- XJ,-~~\q:^~
. --*: ~~.~..Signat~- .._~ ·
, l:~iv-l....vj(! .. I
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Building Offical's Signature
~- 13 -qC
Date
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~LAOft"C6 -~~ ----r-o-tD. \ ~ =:Lnc,
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HlWSE HEATING TEST RECORD
\ 53~lo @(~d cnks 1\()CAcl ,APT. flOOR ,-.Cl1Y .
'- .OWNER -A-\ {l>v tel \ CA...-
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, INS 'ALL E D BY --r()-to...J0.
.Goa Lln. 8y .
SPACE "TR.
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ADDRESS
OCCUPANT
HEAT LOSS
SOLO 8Y
EI.ctrlcal W.,k 8r .
TYPE OF MEA T GA fA ")( HW
o ~s DESIGN .
MAKE....s f)\
M....t (~ A~O ~10lo 0
5.,lal ~~ I'" l.o
IMPUl L6) !OOO
DATE HTG. INST.
SUBURB
/
.
A,- i....,"-) :r n C'.~ .
'-
STEAM
UNIT "TR. OTHER
CONVERSION
THERMOSTAT
V.I..
l'mJl
Limit Set'inl
f.n Sat'i",
'11., T".
P"., .M.k.
PII.. Mo".1 . Smak. 80mlt ,Wi. in,
~ . Pilot Tlmlnl ' Oral' ,1 ell 101,
L.W. Cut Off ' Do., P....IIP. . La,hein, ,,,...
P,e.It.". ).5 \N.c.. ,P.,un' co q '10 Da.. '.1,.411 C1i? -1~ -g ~ l
-'n,ut CFH.tiO~ocrO ,Po,....' . o:---Io""7b . - Co"';'", ..,.iii~~-f\~~-0
~ S..c. 1.mp. 1\ D P....... CO 0 -to M.... .'1..,.. (~. '-/
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CD
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,MAKE Of 8URNER
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o MAKE Of fURNACE
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CONTROLS
H.., Plvl
. V.". s,.. 2 11 ..fAJ G
, teiND OF LINER S'Zf
. P..h Ho.d ' R..ul...,
. Fait... Sia. \ t. )(25 II &.I Mum".'
. atlmney lecatlon t".leIe X
. a.lm..., Con.'ruelion
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