HomeMy WebLinkAboutMechanical 00-0984
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /51..22./ '1< te,.<> 7 /~ pt
I
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~,u.~~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
':>"Ln/co II :30
On -oQ94
I
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
)z FIREPLACE FINAt@
2' eA3L1IJ~ "IR "F8'f
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT lfR~ CAll FOR REINSPECTION BEFORE COVERING
nspector: P ~ ) fJJtNt Owner/Contr:
CAll 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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HEATING APPLICATION I PERMIT
Date fJla 1/. / LJfA I (JO PID #15' - o.1?Y - 00/- 0
S~eAddress /~Lj3 1 l3Y"ep~ Poj1f ilrl 5~
Lot i4- Block Add~ion l<r:a L..d/1/d lA..1-t/e..ij tf;)5'
++- n/ I
Owner's Name COY' I ~ lfeJ9y ffK.
/54;: { ~ rf~Y Poll-' t ~wJ C!E.
h' . f ~ !1[/' '- N ~ Residential, Add~ions & Alterations
Heating Contractor I ~ B '> I r ~ (') r VI (J 1'/ j f' , (c2J I ~ Residential, AC Only
Address :::;?t1"~C) I) I /.JIJ/(A J? X~lJJlIl.sUr"{ e;J?!tf/.,
__ ... .. un r..........:J R'- 9 '} ~ ~ -'-I. ~33 7 Remember to add the State Surcharge on the bottom of this application.
If lelepnonelf I,J . _ _ 1 U / J ?"
Furnace Make & Model }/.(!Ct i- -/W.,..16 TYPE OF SYSTEM
If: f Warm Air Plants
Model Size :r-S((fJne It<1,tJ ;t1.Sfy Gravity
v .
Mechanical
Air Cond~ioning
Flue Size :J.-sIiFlo-rlll1{!J-'jent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Repair Est. Comp. Date
Est. Cost $ __'Jery rJ (I Building Perm~ #
HEATING PERMIT FEE $ 73Q, b ()
Address
Conn. Load
Fuel -t!JL(:;
Supply Openings
Return Openings
Input
~ DCJ/\
-- - v
Edr.
Cfm.
Ir.n
A~erations
TYPE OF STRUCTURE
I. Pink
2. Green
1 Yellow
File
City
Contractor
CITY OF PRIOR LAKE MC
16200 Eagle CreekAv. S.E. Permit No. 00.
Prior Lake, MN 55372
c/
Two-Family
Multi-Family
Single Family
Commercif I
Industrial
Other
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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 huildino oermrt oumhAr before build-
ing certificate of occupancy will be issued.
!::I.EAI CAI CUI ATIONS REOUIRED 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.
Output
City Hall business hours are 8 a.m. - 4:30 p.m.
Other Devices
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
TYPE OF WORK
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-"'1ork which requires review and approval of plans.
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/I r,W,&J
"nature
v-
Replacement
New Construction
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.
.50,
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/MLlj, JIjfA, OJ
Date '
/1_ /I-/-()O
Date
STATE SURCHARGE $
TOTAL PERMIT FEES $
--
c1??00~
Receipt #
Building C/1's\Slgnature