HomeMy WebLinkAboutMechanical 00-1053
CITY OF PRIOR LAKE
INSPECTION ,NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTlO~
COMMENTS:
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-7
/YJO ~
DATE TIME
SCHEDULED /- 303
I h,f~ J LPn'-'L
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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6/./A/71aerz.
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o EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SA TISFAC -ORY, PROCEED
o CORRECT ACTIOII ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-985~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlR4MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE MC ' ~
16200 Eagle CreekAv. S.E. PermnNo. () 0- '053
Prior Lake, MN 55372 - (
HEATING APPLICATION I PERMIT Single Family
Commercial
Date 12.-IB-..Q.C) PID'-25- r~- 0 1(" I
sne Address I 6 b b~ \..-., ""Eo. Q"""" :<;. W Fee Schedule
1. Pink
2. Green
3. Yellow
File
City
CO;7
TYPE OF STRUCTURE,
?(
Two-Family
Industrial
Lot _ Block Addhion
Ownefs Name GA~-< (Y) C- \L., ~, ~'-:"
Address I bS6_~ L, r--E:- \:L.c,r...r-. <, (.\
Heating Contractor ~.l:c.<>",\:::, "'-~, '.......... I-\C-.~~.~{, " A . ~
Address 1&\,:> G,. y \ $'- 5.- b ~..-c;,. ^
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Firep~
Residential, Additions~ Alterations~
Residential, AC Only -
ItlltIIl"'flUlltltt
~ _ _ _ _ . n a.n..
t:..I\~ 1L:-. -10 I I
Furnace Make & Model <:..~~, Co-~
AlS...l.-t,.,.,J"(;>/O
Model Size
Conn. Load
Fuel ~A", (,.1\<; Flue Size
Supply Openings
Retum Openings
Input 1.,",0 - Output
Edr.
Cfm.
Alterations
Repair
Public
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50 PLEASE NOTE:
~Aif Conditioner Units Cannot
~Encroach Into Required Side-
$39.50Yard Setbacks.
Remember to add the State Surcharge on the bottom of this app/fcation.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condhioning
Vent. System
HEAnNG OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
The price of your heating permit includes one rough-in and one_fin, i".,.
Additional inspedions will be billed at $35.00 each. \i\:.c'
House Heating Test Record must be submitted with hlJildin'll1IDDli1 ~ before build-
ing certificate of occupancy will be issued.
!::I.EAI .QAI r.11I ATIONS 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
Replacement
TYPE OF WORK
New Construction
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 thi~orm does not b~me a permit until signed by the BUILDING
OFFICIAL; tha the work will be n accordance with the approved plan in the
case of all wor, which reql"Zls,' iew and approval of plans.
. -~. /.L-- 1'2.'1\-00
AfJplicant'i ~r;J'M'II Date
_V 1'2-/6 -00
Date
-<
I 2... - 2.. '2-- Q 0
(fD- 1.1253
38843
Est. Comp. Date
00
Est. Cost $ '2..0 00, Building Permn .
HEATING PERMIT FEE $~..:!IJ.b-o
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $~ Receipt #
10 a.