HomeMy WebLinkAboutMechanical 00-0908
CITY OF PRlejR LAKE
INSilECTION ~OTICE
DATE TIME
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i/~ 5'G -PO- rl<coood.
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t:J -C;Or
o FOOTING
o FOUNDATIf<lN
o FRAMING
o INSULATIO ~
o FINAL
o SITE INSPE CTION
COMMENl S:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
/A)) 0 FIREPLACE RI
W !J4IREPLACE FINAL
'\ 0 GASLINE AIR TST
o
ry~~-~
..-/
)( WORK SATI SFACTORY, PROCEED
I~ CORRECT ~ CTION AND PROCEED
o CORRECT ~ ~O CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
~ - .
CALL 44: -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE! WlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION 1 PERMIT
Date ID-II-06 PID# ::J5- 3-/
S~e Address 1-1&'5& \1::cl:.'t. \LJrn"f Q$ \)t'/Of ~ tY\~S.537?
Lot lL Block L.-( Add~ion 1JJa/JdA.Jic.. Sk es..+ ~ y- ci-
A' 0
Owner's Name ~i\e \),,"/'7
Address. itro S~Vu.f\(\JJr'Ed \JeSS \){:.,,{ LDVe ~ (l. 'S5137d
"'~
Heating Contractor -:Ss2 \ t-
Address
Telephone #
Furnace Make & Model nliie6'T;(.., l)\J ~IR CONDITIONER UNITS CANNOT
~ ENCROACH INTO SIDEYARD SETBACKS.
Model Size
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input Output.
Edr.
Cfm.
A~erations
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
TYPE OF WORK
Repair
Replacement
New Construction
Est. Cost $
HEATING PERMIT FEE $
Est. Comp. Date
Building Perm~ #
3Q,SD
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
L[O,oO Receipt# c ::i)R'Itf I
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
)(
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
J:ll:lom,:lomht:t.r tn ::arirl thA !=:;tl=lte Surchar':'A nn thp. hnttnm of this applic::Ition
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 buildina oerm~ number before build-
ing certificate of occupancy will be issued.
!:!EAI QALC':IJL 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.
City Hall business hours are B 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 farm 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.
_-----r~Ac'("7." \ 2F-
~~~
UUilding Offical's Signature
\0 ill (DO
Date
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