HomeMy WebLinkAboutMechanical 00-1044
. ~E
CITY OF PRlO LAKE
INSPECTION tOTICE SCHEDULED ~ 3
10JA4- !11-1r.AJ ;tl-6,
v
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING 0 PLUMBING Rl
o FOUNDA n IN 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TIC N 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPl 'CnON 0 MECH FINAL
COMMEN""S: P/-k ~
~5&- (~U;; <
TIME
A..,..
?t?~/044-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
~.uF/
~ORK S, mSFACTO :f. PROCEED
o CORREC r ACT1r NO PROCEED
o CORREC rvf:t'i ALL FOR RE1NSPECT10N BEFORE COVERING
Inspector: _ {:;;:... ; ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
1-__________
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 0
Prior Lake, MN 55372 -
TYPE OF STRUCTURf;
I. Pink
2, Greon
3. Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT
Date /Z. //.00 PID# Z6-()OI-{)
S~eAddress /{gz44- JI1AIN AI/G;.
Single Family
Commercial
./ Two-Family
~ Industrial
Multi-Family
Public Other
Fee Schedule
Lot
Block
Add~ion
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & ARerations
Residential, AC Only
1% of job cost ($39,50 minimum)
$99.50
$64.50 PLEASE NOTE:
$39.50 Air Conditioner Units Cannot
$39,50 Encroach Into Required
$39.50 Side Yard Set-Backs
Owne~s Name
Address
Heating Contractor c...~.J.~ f?!"''e,,-.ul._
~tX j/ ~.Yo., Af.l~- t;'jRud-
Address
/."".-~ c/.,__
I elepnone II II'? I - ~.,... - / V "'l/
RlClorna..JDbpr t.... ""...... +h"" c.tate SUl'Cha~Qe gn the bottom of this aoDliGa~~,..
Furnace Make & Model
AIR CONDmONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
The price of your heating permit includes one rough-in and one final inspection,
Model Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical:2- --. ~
' '" . !:I.EAI CALCLJI"AT10NR REQUIRED with number of supply and return openings listed per
Air ConditIOning '~~i:t~ A'7:: room with CFM's per opening, New structures or add~ions send floor plan w~h supply
Vent. Syste ' ..,' , '7~ and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
HEATING OR POWER PLANT~ ' .1 APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
Steam ~REEK AVE. S.E. PRIOR LAKE, MN 55372.
Hot Water
Radiation
Special Devices
Other Devices
Add~ional inspections will be billed at $35,00 each.
Conn. Load
House Heating Test Record must be submitted with !llIi!lling I1llI!!!i1 numher before build-
ing certificate of occupancy will be issued.
Fuel Flue Size
Supply Openings
Return Openings
Input Output.
Edr.
City Hall business hours are 8 a,m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Cfm.
Phone: (952) 447-9850
Fax: (952) 447-4245
TYPE OF WORK
Repair
Est. Comp. Date
Building Perm~ #
00 -/044-
,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 for es not become a permit until signed by the BUILDING
OFFICIAL; e wo will be in accordance with the approved plan in the
case of W~~d approval of P;;'-If'-~
(/Y ~ltL-- Date
Bu;~~ci;:s Signature 12.- ~a{e - 00
Anerations
Replacement
New Construction
Est. Cost $
HEATING PERMIT FEE $ 3t:f. 60
STATE SURCHARGE $ .50
TOTALPERMITFEES $ 46.QC) Receipl# 386/3