HomeMy WebLinkAboutMechanical 00-0917
DATE TIME
CITY OF P~IOR LAKE
INSPECTIO~ NOTICE
SCHE~JLED
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ADDRESS
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T~,
OWNER
CONTR.
PHONE NO
PERMIT NO.
00 ~ 1/7
o FOOTINC i
o FOUNDtlON
o FRAMIN
o INSULA ION
o FINAL
o SITE INS 'ECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
g FIREPLACE RI ~ A-
FIREPLACE FINAL A-
GAS LINE AIR TST
o
COMMEIITS:
OK
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~RK S UISFACTORY. PROCEED
o CORREC T ACTION AND PROCEED
o CORREC T WOR~CALL FOR REINSPECTION BEFORE COVERING
Inspector: < B ~ l \ /JMf! OWner/Contr:
CALL 447-9850 FOr/THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
..-..-....-.-"- -..-+----.-.
CITY OF PRIOR LAKE Me
16200 Ea9l.e Creek Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION / PERMIT
Date /"-1 ?-~ PID # -2 S- '<'I
S~e Address 1'1 J (t;; Sh",,{u O~ i, "1'".,,- /
t Add~ion / l, Q Ci- (.vrn €I:
. uV
Zi.AJ /')u,4."s
Lot -+- Block
,Owner's Name
Address
/q/tft
"J,dt.. LT2~<.:h
I
Sk.~ ~,
Heating Contractor
Address TJ'Y>,,) ,&&........ s/ s~
Telephone #
7'" / - " Jr
Furnace Make & Model
4I?~:~~"
"
Model Size
/<"'/~.r~
GP
\ .
Conn. Load
7"
Fuel /I/o I; Flue Size :J - ,)
Supply Openings
Return Openings
Input .;17, S'Gb Output.
Edr.
Clm.
TYPE OF WORK
Atterations )<:
Replacement
Repair
Est. Comp. Date
Est. Cost $
:J'bbD
Builclin}l!erm~ #
.--=3 q ,SV
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
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TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
.x
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
\
(hJlcchddls /5:fr;,dustrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential. Additions & Alterations
Residential, AC Only
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
.50
<It") .()() Receipt # :3 g- t, ci)
New Construction
In-I?'-!>'/}
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
D~-^-~er t9 add the State Sur<'harge en the bettem of this a"plie~:;~, ,.
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" ~ number before build-
ing certificate of occupancy will be issued.
HEAT CAI CIJI,.ATIONS REQIJIRED 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.
C~y 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.
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aliC~~U~
~ding Officar's Signature
IO-/Y-';>'"
Date
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