HomeMy WebLinkAboutMechanical 00-1052
DATE TIME
CITY OF PRIOR LAK:: I-L9
INSPECTION "OTlCE SCHEDULED
AODRESS L/0/0 ~f1tr~
OWNER CONTR.
PHONE NO. PERMIT NO. Of) -IDS L
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP ~FIREPLACE FINAL
o FINAL o PLUMBING FINAL GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
f
(~ j O:;~
r-
1<-- (C'
I I '--
~RKSATISFACTORY, 'ROCEED
o CORRECT ACTION AND fROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ (- t 1- (J J Owner/Contr:
CALL 447,9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMEN-$ ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
____....1.-"___,_._ -.-, - ,
4).. '-\S M+1'l t. INdo.....
'CITY OF PRIOR LAKE MC
16200 Eagle Creek Av, S.E. Perm~ No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT lI!!:.
I JH loD PID# 25- 311- 6t2t--O
.
S~e Address vc,/ D 'j)f1~p.v 0,).0 DIi. , Sol::' _
Lot .3 Block ~ Add~ion WOOOf.2..ID6F, :3/U)
Ownefs Name ~-rf.l'-( i-::::r--~ If 6C ~e...-
y r;.. L D P A 2..I:'-W ODD 1)0. .\?~e:,
Date
Address ,
Heating Contractor ~ I?.12:G"'-- FI (2:I.P 1.A G"i-
Address / ~ / S'I M /I . r' IJ It iT P Q....u'> ra.
, ,
q.-- -- '.(1"" - r-, .. a--'
Islepnor1elf-- .iro.l ~ ---~ 4. Jf.:;.J~- ------
UJ KI.~
Furnace Make & Model
AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Model Size
Conn, Load
Fuel Flue Size
Supply Openings
Return Openings
Input , Output
Edr.
Cfm.
Atterations
,~
TYPE OF WORK
Repair
Replacement
Est. Comp. Date
Building Perm~ #
'3q,~l)
.50
00 -/{)~2-.
New Construction
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Yo -Receipt#
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File ~
City
Contractor
Single Family
Commercial
x:
./
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
~
$39.50 OEG I 6 200l
$39,50
RAmAmhAr tn pri~ th~~t~t~ ~11lY"n~rgl;' on the bottom of this applicatign.----
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 buildinn ~ numher before build-
ing certificate of occupancy will be issued.
HEAT CAI CLJLATION!'> 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,
Phone: (952) 447-9850
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Fax: (952) 447-4245
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 ccordance with the approved plan in the
case of all work which requires r ew and approval of plans,
p~ ~ - Jill/>< .47 / z../gt0v
AP7l!JJJ!t :?7M ~~lllC~ /_ J.~e /00
BUildinlOffical's Signature- '~