HomeMy WebLinkAboutMechanical 00-0986
CITY OF PRIC R LAKE
INSPECTION ~OTlCE
SCHEDULED
ADDRESS
?;29 ~ t:.5 f\fr ST
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA TIC N
o FRAMING
o INSULATIOP
o FINAL ;
o SITE INSPEfTION
COMMENTf:
o PLUMBING RI
o MECH RI
o WATER HOOK
o SEWER HO
o PLUMBI
o MEC
r,
+-,'/ p ./
DATE TIME
I 00 ~..~-
?:?D. .., .....,.
60-QSCo
o EX/GRAD/FILLING
o COMPLAINT
)i(FIREPLACE RI0-
. R FIREPLACE FINA~
~GASLINE AIR TSTe
o
~RK SATISIACTORY. PROCEED
o CORRECT AC rlON AND PROCEED
o CORRECT WCV~~A: FOR REINSPECTION BEFORE COVERING
Inspector: -L Owner/Contr:
CALL 447.'50 FOJ THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQL rREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IlVSNOTl
---.....- - -..--_._....._.._._..,...._---..._._.._~_.._---
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lakef.~N 55372
HEATING APPLICATION I PERMIT
Date~-OO PID# 2.5-10'3- ()()(,,-b
3ZQ(" I<.f=5I\/T STR.5t:.t S\t\!
,-
Lot _ Block Add~ion P\2..IO/<.. WDOD
JMnefs Name - J an n If/Jr/?!;:i)j;:t -~
~dress. 3ZQu, KVI:T )
Heating Contractor . fY) If) fl RJ} t1sflD /
J /
CA&:::.7 -///9 8Gqq k'
lelepnone # ."-' - I' ,
~Make & Model fl-Rtt:/-N Clio AIR CONDmONER UNITS CANNOT
o ENCROACH INTO SIDEYARD SETBACKS.
S~e Address
Address .
Model Size
TYPE OF SYSTEM
Warm Air Plants J
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Clm.
TYPE OF WORK
Aiterations
Replacement
New Construction
Repair
Est. Comp. Date
Building Permit #
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
3Q.50
.
.50
40.00
Receipt #
3~(P,"7
I
TYPE OF STRUCTURI;.
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
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
$64.50 PLEASE NOTE:
C ~ Air Conditioner Units Cannot
~,",." Encroach Into Required
$39.50 Side Yard Set-Backs
Remember to add the 8tate Surr:hame on the hn"nm of this aoolication
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 huildinn ~ lllIlllIlw: before build-
ing certificate of occupancy will be issued.
I:!EtIJ: CALCULATIONS 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. SE 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
Phone: (952) 447-9850
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 accordance with the approved plan in the
case of all work which requiles review and approval of plans.
/1-/5-00
Date
//./5.00
Date
BU~lcal's Signature