HomeMy WebLinkAboutMechanical 00-0968
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 343. 7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCItEDULED
/;<;;B/oo
'~30
TIME
!;r'\ lMrJ('fO_
i CONTR. +,J>.t
PERMIT NO. q to ~
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. ,
qtoct
o 'LUMBING RI
o ~ECH RI
o 'VATER HOOKUP
o lEWER HOOKUP
~ lLUMBING FI!:lt-L
jQ jECH FINAL(BS
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
$ FIREPLACE FINA~
o GAS LINE AIR TST
o
COMMENTS:
I
i
~RK SATISFACTORY. PROC',ED
o CORRECT ACTION AND PROCi ,ED
o CORRECT WOR:\ CALL FOR F EINSPECTION BEFORE COVERING
Inspector: ~ 1 U~ Owner/Contr:
CALL 447-9850 FOR ~HE NkxT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
.WU...--.....-T
INSNOTl
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
Date
HEATING APPLICATION I PERMIT
1\.2.,oD PID# ;).5-Dq'6~ or3-0
Site Address ~7 "VI' !l.M.Qo" 'Po ""r
c:,O Y J. i! of u.. +10'" C /Y\ ' ^ Ii
'"'Lot Bloc Addifion 1/, If ulU' 0
- '. I
,i JJO()c-G
Owne(s Name
JOHN BAUCHLE
Address
3437 SYCAMORE TR SW
Heating Contractor RON'S MECHANICAL, INC.
Address
120IO OLD BRICK YD RD
SHAKOPEE, MN
55379
Tl:r;I:iII-';,UIIO';': 9-5-2/115 Q::~::
Furnace Make & Model l' _A-~.:~ \E:e
Model Size I5K t'rIlt,q In D
AIR CONDmONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
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
FuelJJ/..h
Flue Size
Supply Openings
Return Openings
Input IOO,ODO Output lfD.{)O()
Edr,
Cfm.
TYPE OF WORK
Merations
't
New Construction
Replacement
Repair Est. Comp. Date I \. llo' ()()
Est. Cost $ LSD 0 Building Permit #
HEATING PERMIT FEE $ ---.ffi .8)
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ 4/). DO Receipt # .5 ~ ~t;~
,
TYPE OF STRUCTURE,
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family _
)(. Two-Family
Industrial
Multi.Family
Public Other
Commercial
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
$i39.5_ - {) 'lS1JJ
$39.50
$39'50-
Remember to add the Stat~S;urcharae on the bottom of this <WI1licat;on
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be biiled at $35.00 each.
House Heating Test Record must be submitted with build;nn Illll!lill number before build-
ing certificate of occupancy wiil be issued.
HEAT CAI CIlLATIONS RFOIJIRED 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 Hail 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 wiil 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 wiil be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
~ 4u-tI(/~
~rJC::::ure
Building 6"ical's Signature
II~ ".bat)
Date
/I-j-()D
. Date