HomeMy WebLinkAboutMechanical 99-232
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~
DATE TIME
),-7-00
ADDRESS
3l6d. W~U1~5J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
F~
~ LJI
v
qCi/Zh V
, .
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~' /h..IUr. ~
-
99- i2J.lf
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/'I'vr1'
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
HEATING APPLICATION I PERMIT
Date~r~\_~, rtfi-. PID#c2)~ C7lS-0/7--G
Site Address 3~ \.U \ J \ o..u2.lJlti&cl ~T; K (
lot q Block;;) Addition. cue~l-bf(V ~ds . Industrial, Commercial & Multi-Family
IA ~ ~# Residential, Heating & AC
Owner's Name n I " .
, - '::A . Residential, Heating Only
Address ;~ Q(O ~ '\1).~ \ \ ~i- . . Residential, Gas Fireplace
. .... , ~. < , n II / f!:} 1 -eJ. :~. ~ Residential. Addmons & Anaralions
Heal"'9 Contractor ...., '-"->h1tP. (\J aV'~ ' "",: Residential. AC On~
5 ~ r1 (~), t. J f3"fY1\U/II~JI!IfSS33l
Telephone # (0 I!J... - '((i() - f)'? Remember to add the State Surcharge on the bottom of this application.
~ " - -
.r _.. ...."" Make & Model HA'Af-W-Glo- TYPE OF SYSTEM
r-- \ I') n Warm Air Plants
Model Size _ ~,... /57JT folS r{fPf be e Gravity
Co l d Mechanical
nn. oa A' Co d" .
J ,. ~.f Ir n itlonlng
Fuel ~iV /j-' Flue Size $JI Vent. System
Repair
Est. Cost $ ~CJ -
HEATING PERMIT FEE $
Address
Supply Openings
Return Openings
Input ..1{Qa.r)
Edr.
Cfm. l rod
Alterations
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior'L8ke, MN 55372
,
I. Pink
2. Green
3. Yellow
File
City
Contractor
cr1-QL
TYPE OF STRUCTURE
X"
Single Family
Two-Family
Multi-Family .
Commercial
Industrial
Public
Other
Fee Schedule
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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 permit number before build-
ing certificate of occupancy will be issued.
Output
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
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.
Other Devices
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
TYPE OF WORK
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.
r ,jJ /l~ " }UClrch .J/J'Ihff
r\ A/, A~PIic:arit's~~afure l '2 Date
V~tJ ~ ~3!:) ~9
U Building Offical's Signature Date
Replacement
New Construction
,
Est. Comp. Date J9(J~f ( J~/ 9'P
_ Building Permit # qC( - Z~z.
SCc ~ SU
.50
40-00
STATE SURCHARGE $
TOTAL PERMIT FEES $
Receipt # :31- ~