HomeMy WebLinkAboutMechanical 99-380
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 4 ~;l,-?<3
/L/53'7-- SUr'Y€-V LN
l
CONTR.
PERMIT NO.
CJ9- 3 ?D
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
,f GASLlNE AIR TST
LL J./P
'''/-
\' ~' L..s<...r./
--Y' I I
/1 i 0 S €- I
L/~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
----.LI--
"C:-r v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSliOTI
I ., (, 17....." H-J:
I. Pink
2, Green
3. Yellow
File V
City ,
Contractor '"
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. 9'1,.:3t30
Prior Lake, MN 55372
HEATING APPLlCAnON I PERMIT ~:t.
PID, 2.5-500- Olfp,.O
-6u,,~ ~",~
Addition e.4~~/At!fe tI/U$ 71fIJeO ;:I-OI:)A.).
Date ...!1:::..l~- 93
Site Address J!:J.53 7
Lot Z Block L./
Owner's Name.::::r:,kYJ ::r v -r~u"""
Address 1"15"37 4uI'rey L...11t?y f't,;-tK" ~ AN ~7...:2-
Heating Contractor Cto.A't TY'A; f7 ~~~
Address7'tq;tt.U.~h'~ A.tH'j ~ ~d-ie., ~AI <"'~
Telephone # f#;1. - 9" J -/ o'PI
~ Make & Model h(J~.: ~;t7~ TYPE OF SYSTEM
_ " Warm Air Plants
Model Size _ ;;"J.J~ T""~,v Gravity
Mechanical
Air Conditioning }(. AfJO 6N
Vent. System
HEAllNG OR POWER PLANT
Steam
Hot Wa1
Radiatic
Special
Conn. Load ~ - 2. 3 '/
,
Fuel N'/ ..f:::-Flue Size ~..4-
Supply Openings
TYPE OF STRUCTURE.
Single Family .
Commercial
b(
Multi-Family
Other
Two-Family
Industrial
Public
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 building permit number before build-
ing certificate of occupancy will be issued.
I::iEAI QALCULATIONS 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
rn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
mONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
AVE. S.E. PRIOR LAKE, MN 55372.
Input
Output
Retum Openings
Edr.
Cfm.
Other D
....". M~ TYPE OF WORK
Alterations. 1)(1 Replacement, New Construction
Repair
1/ - ..:2.3-99
qq..380
Est. Comp. Date
Est. Cost $ .2~.a? BuRding Permit # .
HEATING PERMIT FEE $3 q. S-O
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ LJO.(Y)
35D4-:s
Receipt #
business hours are 8 a.m. - 4:30 p.m.
RK 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 aJI workANhich requires review and approval of plans.
1::::12 - ?J
Date
4-~r; hq
Mte -