HomeMy WebLinkAboutMechanical 00-0996
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
, SCHEDULED
2-IB-ns 16~~,.,
ADDRESS i I f=i '7 ,~q
!
f'~eVV\,,",^"\-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.D("") - '71(.,
o FOOTING
o FOUNDA T1~N
o FRAMING i
o INSULATION
o FINAL
o SITE INSPE :TION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
I:J .SEWER H09KUP
~FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~IREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/ Ii iD0~ I(\'\{./
~ORK SATI5FACTORY, PROCEED J;l
o CORRECT ~ CTION AND PROCEED
o CORRECT! ~CALL FOR REINSPECTION BEFORE COVERING
Inspector: ir V Owner/Contr:
CALL~:! 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE\iUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTl
CITY OF. PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 59372
HEATING APPLICATION I PERMIT
Date // //0/00 PID#. 25-Zcfr1-"O
S~eAddress/S7 sq P25.-I1N$I.IN( JAi.'1.. _ R.ba-.
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Lot _ Block Add~ion
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Owner'sNam~d"'N.<I -vU2A(!)cf./(J<t- /"0 67.e~
Address /,::J-ry ~ ~JrtP/l..r{ tN ":l.... Pf4"...... ~ -
Heating Contractor \/I'i ,e.-<;Ie.i<- p; ~ p~ '
Address / h ( s;? /tJ jQ ,f'J ~ _ P{L.O.l..-- LxijLc,,--
Telephone# '-/ .5L- y'-(O~ ~..., fo'r7'5-
/'h/Q:J?;.L7/c.... ^. . i
Furnace Make & J;fodel :? kxJ<u Ii t.U=-f'./ TYPE OF SYSTEM
-r? _ Warm Air Plants
Model Size ../O~ 8-, C> Gravity
Mechanical
Air Cond~ioning
Vent. System
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input Output
Edr. .
Cfm..
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
TYPE OF WORK
A~erations
x
Replacement
New Construction
Repair
Est. Comp. Date
~ - Building Perm~# .
39,S-V
.50
DO .()c;qh
I ,
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
$
Receipt #
3 'era 1'3
YD
-
TOTAL PERMIT FEES
L Pink
2. Gnon
3. Yellow
File
City
CODtractor
:TYPE OF STRUCTURE
Commercial
Two.Family
Industrial
Multi-Family
Other
Public
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
$64.50
$39.50
$39.50
$39.50
~ememberW-a<JQ-theSlate Smcharqe on the bottom of this application
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 Iluill!ioll oerm~ number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed pel
room with CFM's per opening. New structures or addilions 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.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the wOlk 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 uires re ew and approval of plans.
GY cvJ ,f2 /j/J / In)
Date
}//7-0 ()
BUildiflrffiCaI's Signature
Dale