HomeMy WebLinkAboutMechanical 00-0918
CITY OF PRIOR"LAKE
INSPEC1:!ON NOTICE
SCHEDULED
ADDRESS
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA TI )N
o FRAMING
o INSULA TJ( N
o FINAL
o SITE INSP ,CTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE
TIME
L;-l
(J- q/<8
00 "Cj /Cj
o EX/GRAD/FILLING
o COMPLAINT
$FIREPLACE RI
o FIREPLACE FINAL
IJ~ASLlNE AIR TST
o
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~
JKWORK' ,ATlSFACTORY, PROCEED
o CORRE:T ACTION AND PROCEED
o CORRE CT WORK, CALL FOR REINSPECTION BEFORE COVERING
JIVr1 L-{ -1.- .-(fj Owner/Contr:
Inspector:
CAl. 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
COD, REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/'iOTl
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
Date
HEATING APPLICATION I PERMIT
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Addttion "<) :L-I-.
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Stte Address
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lot
Block
Owne(s Name
Address
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71"",,-:>/.1.... ..4~
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1>A>b-/>'P A""" (;"M.....r
Heating Contractor
Address
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~ ''? _""7/ PC-- Remember to add tnp !=.:;t~tI:~ ~1Irr.h:m"'Q. An tho. l,oUQm of thi~ 3.DDlic::Jtir:;-;.
T al.gpbone ,/I
Furnace Make & Model ~:ed-?G
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Model Size tJ://f:r:rG,I(A/
AIR CONDITIONER 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
Fuel .A,I':.,t;
Flue Size
" 0
"'7 /
r'
Supply Openings
Return Openings
Input i/ t, (> otJ Output
Edr.
Cfm.
TYPE OF WORK
A~erations )c
Replacement
New Construction
Repair
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Est. Comp. Date
9,~
Est. Cost $
Building Permtt #
,QQ50
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
,50
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Receipt #
8~b(X)
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
~F"'
"ty
C~ntractor
Single Family
)c
Multi-Family
Other
Two-Family
Industrial
Commercial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addttions & Alterations
Residential, AC Only
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.
rlouse Heating Test Record must be submitted with buildinn Jm!!D.i!!!l!!!!Qm: before build-
[en c"rtificate of occupancy will be issued.
ttEAT ~lL!ATIO~ RFOLJIRI=Q with number of supply and return openings listed per
'Jom with CeM'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
case of all work which requires review and approval of plans.
/P-/J'-t?O
1511r(;)
Date
1/ .,I~
uilding Offical's Signature