HomeMy WebLinkAboutMechanical 00-0969
CITY OF PRIO~ LAKE
INSPECTION tjOTICE
SCI'iEDULED
I ~;;B/ or)
TIME
h3D
ADDRESS -343. 'I
S..r a VlAtM'fO
I CO~TR. +,""'"
PERMIT NO. q ~ A
Cf'
qfoct
OWNER
PHONE NO.
o FOOTING
o FOUNDA TIOll
o FRAMING I
o INSULATION'
o FINAL
o SITE lNSPEC!TION
I
COMMENTS:
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
OftUMBlNG FI~L
if MECH FINAL~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
J!'! FIREPLACE FINA~
o GAS LINE AIR TST
o
~RK SATISF, ,CTORY. PROCEED
o CORRECT ACT ON AND PROCEED
o CORRECT WOF ~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I U~ Owner/Contr:
CALL 447-98 50 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUI ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
-~---_'_.H~'___"._,_,_.,_,_,_~~
CITY OF PRIOR LAKE MC ",
16200 Eagle Creet'Av. S.E. Permit No. (f)1fJ';}1t, c;
Prior Lake, MN 553724':
HEATING APPLICATION I PERMIT '"',.,
Date II-~ m PlD#~-Vqg- (')/3 - ()
SneAddress -34-31 Sica fhnr-l Ik s~
~" V.J. of' o u.+ 10+" c... 'vi/! A /) /). ._ ~ J
Lot Block Addnion 0 I' / ~a..
Owne(sName~hnT t:rv-i~ 7<.d..u{"'~
Address s4~1 "'\V('oJnOY(l. -rIe. S tA),
Heating ContractorQ1} ~ fa ;;:t" ~
Address3.[3c;[) W. ~f I~ ~"cl).hS.\(;(jC' S~:<,,_
Q"", _ 01"],1> A -, ,t:J-
TEuepnone If I. -J(7""'" U IV '-'" ,--:.J-r- J
Furnace Make & M2,de) ~ ----;:JR CONDITIONER UNITS CANNOT
{,(;:t- ENCROACH INTO SIDEYARD SETBACKS.
Model Size TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Conn. Load
Fuel f) tV-
(J
Supply Openings
1/-W
Flue Size
Return Openings
Input ~utPut
Edr.
Cfm. 107i
......
Merations
TYPE OF WORK
~ Replacement
New Construction
Repair Est. Comp. Date
Est. Cost $ Building Permn #
HEATING PERMIT FEE $ ,~CI. 00
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
J./{)'(Y)Receipt# 3?0 ~2
TV'PE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
.J'
Multi-Family
Other
Two-Family
Industrial
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
RAmAmhAr tn ~rlrl thA St:dA f:;1 m-::h~rgA nn th.:o. hnttnrn nf thiCl ~rrli('~tiQn
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 buildin,! oermit ~ before build-
ing certificate of occupancy will be issued.
HEAT 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. 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
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
Go'{\{; ~ ,w. '~';t:7 ""'~. ., ';";''rOQ
, A P icant's ~ature U Date _ / )
, l.41t _ /1- to-VU
Building Offical'~ignature Date
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