HomeMy WebLinkAboutMechanical 00-1030
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDYLED
IZ'z)'OO 3: 3.0
ArlDRESS
'3827 rSL. Vr"'5\AJ
OWNER
CONTR.
PI ONE NO.
PERMIT NO.
0-/030
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
o EX/GRAD/FILLING
o COMPLAINT
}'l" YREPLACE RI
IN p: FIREPLACE FINAL
'(fjj)1{ GASLlNE AIR TST 1='. P.
o
C()MMENT5:
OK ~ ~l\~
I
c~ -C;\~
/
? WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K, CALL FOR REINSPECTION BEFORE COVERING
In~pector: ~. V~ Owner/Contr:
CALL 447-9850 FOR J.E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE Me
16200 Eagle Creiek Av. S.E. Permit No.
Prior Lake, MN 55372
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Furnace Make & Model I!,.ql--fl/-G1o.-
Model Size )7-7 -!i '-)PIA lis1.P
HEATING APPLICATION I PERMIT
Date fJrJ.c (o-fhL1Lf'J PID~ 25- /5q- 00"1--0
sne Address :5~ d. 7 ~ S- ( ~// I~ uLf'J h'6.L1< Fee Schedule
Lot 4- Block ! Addnion 15 L.-. \J I E V'J 2 NO Industrial, Commercial & Multi-Family
f) ( 1/ /0 '" () S r- Residential, Heating & AC
Owne~s Name I ,.. K c... . ' , '> R 'd 'I H . 0 I
- . 1 -r . / 1/ eSI entia, eating n y
Address 38 ;Z7~/ tIr't!/(J (i['l'-rJe. Residential, Gas Rreplace
C' . ~'.J /J /4J / '''- J:'t' ' II Residential, Addnions & Alterations
Heating Contractor f 'I r e..J ( tJ co Y'1II tlf/' I I 1", Y'e"\/~ Residential, AC Only
Address 5'YS-n t//. f!.tJ/rJ /~ $urJ1S'I/,I/~/)jffi 5>.:?J?
';" v;v"l,u. .d # </s;:;7, - .l?r?:~-----bY<7 ~ Remember to add the State Surcharge on the boUom of this application.
Conn. Load
Fuel ILl (J Flue Size;;' -;"r:tN
Supply Openings
Return Openings
Input .1JJOiJr 1- Output
Edr.
Cfm. I,t; i7
Merations
Repair
Est. Cost $ ~000
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permn #
'3 q ~O
.50
40.00
TYPE OF WORK
Replacement
Est. Comp. Date
1/
Single Family
Two-Family
Multi-Family
Commercial
Industrial
Public
Other
1% of job cost ($39.50 minimum)
$99.50
$64.50 PLEASE NOTE:
$39.50 Air Conditioner Units Cannot
$39.50 Encroach Into Required Side-
$39.50 Yard Setback.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condnioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
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 submiUed with buildinq ~ number before build-
ing certificate of occupancy will be issued.
!::I.EAI CALCUL4Tln",s REQUIRED wnh number of supply and return openings listed per
room with CFM's per opening. New structures or addnions send floor plan wnh 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.
cny 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
Other Devices
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 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.
,Q{t~i~ 4- . f)tr ~-:4 / CI)
/2- - (p - 00
Date
Dpr:.
~(Jfh...
00 I 030
Receipt #
38604-
BUil7g Offical's Signature