HomeMy WebLinkAboutMechanical 99-154
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~~b3
ev.s-h-c 2d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION A 0 SEWER HOOKUP
o FINAL 0 LUMBING FINAL
o SITE INSPECTION ~ECH FINAL1 I
COMMENTS: flvvta.ci _ J- Ale
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TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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Inspector: I I Owner/Contr:
CALL 447 -9850 FOR TAE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~ ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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. ." .G.~S WORK bRD~R~ qq - /5'4-
1072 Payne Ave. STANCARC' 410W.Lake9\: ."
St. Paul, MN 55101 ... HE A-I' NGct:J Minneapolis. MN 55408
651n72-2449 -" ",I 6121824-2656
& AIR CONDITIONING '.
EQUIPMENT INFORMATION
LAST 1f /1 ~ t,5h FIRST f)p II." ; .., TYPE
ADDR~S t, ~ 'i<?> tf u:;,-I ,c ,I( ;>. 5. C MAKE be " .....J
CITY. ~ c " ,,' L /l ,LP ZIP <; <; ~ -12 MODEL ." 7 5 1M .t,(/J' ./ ~ 0).,0>" DK,L
HM PH 4Ll7- ThJ-S- . WI< PH . SERIAL 3 I 'lll t\O 5J \V
TECH::);,vl Je . DATE ?, I ::; 1'1? .INPUT fdJ,({) 0
ORSAT TEST RECORD '
\
C02 5. 'j % METERED INPUT J" 0 cfh CHIMNEY TYPE PJ C i'r ,; , :J
02 _ / 0 ' "2 % UMIT SETTING [) SO' 0 FLUE SIZE :l .b in.
C9 .'1} % PILOTOUTAGE'1r :;.611 sec CONNECTOR SIZE -2 1 in.
NET STACK TEMP 1..'1 0 TOTAL CHIMNEY INPUT to 0' 38 ' bluh
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CITY OF PRIOR LAKE MC '
16200 Eagle Creek Av. S.E. Permit No. qq-/5l/
~ , '-. Prior Lake, MN 55372
"
HEATING APPLICATION I PERMIT
PID# 33-137-CfJ~-()
"?~'.. ~~/S f~ KISb
Addition _/Ju K kU1d &zG.{h ?/.-tl.kidh.
Owner's Name/) 04""~ E~L..//,
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(;~gJ~J~r/ ~,r.
Date
-;-t-PI/
Site Address t'..t:. g '3
Lot I Block 3
Address
Heating Contractor
iTAiCDAAD IlATlNS A?m AIR cNtOmON1~ CO
410 YVt;;~ t """'" 07-;;:::-:-
IItfEAPOL1S, MN 5S408-299S
Jlf<<4-266!
Address
Telephone #
Furnace Make & Model ~ ~C;(
Model Size ltJ, (J(/I/ /5 n/ j
TYPE OF SYSTEM
Warm Air Plants /'
Gravity
Mechanical
Air Conditioning v
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Conn. Load
Fuel J&/) ~ Flue ~
Supply Openings V- ' \
Return ~;,t: i
Input " . ~tlut~, vtJ lJ
Edr. () I
I - I
Other Devices
Cfm.
Alterations
~
/ TYPE OF WORK
~Placement ~ New Construction
Repair
Est. Comp. Date
5(. <:'C f.2.J}
3-1'1-9'1
9?-/s-Z/
Est. Cost $
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
':1,'1,(,'0
.50
3L/7~
Li IJ I (::J () Receipt #
.
TYPE OF STRUCTURE
L Pink
2, Green
3. Yellow
File
City
Contractor
Single Family
Commercial
./'~
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
$3~:~Q..
~
$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 $35.00 each.
House Heating Test Record must be submitted with .buildina permit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATION$ BE9UIRED 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.
J/a--. 7~~
. ~P, PJiCant'SSignatif J'_
b?11 rII ,.// . rH '
I \~d1ngOff.ical's Signature. - >~
3-(- ?Y
Date
5- C; --Cf '7
Date