HomeMy WebLinkAboutMechanical 00-0905
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PERFORMANCE TEST
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Final tnspection 0'" 10 -tb-OO
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CITY OF PRIORI LAKE
INSPECTION NG>TICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPEC" 'ION
COMMENTS:
1K 4'1, OV Ie ~
SCHEDULED
-;L.lJ.-O Sv/.o.,w,u-c.
I
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMelNG FINAL
o MECH FINAL
~/.;N"/Ivu.
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r "1M ~I.IS {ltrl
DATE
TIME
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
t::{ I yo-
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o WORK SATISI 'ACTDRY, PROCEED
jK CORRECT AC nON AND PROCEED
o CORRECT W( 'RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ;1,(/ ) -5 -o} Owner/Contr:
CALL 447-' 1850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQI IIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY/
INSNDTl
.
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 00...
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date '<J-. \~ \.::,C\ PID#.2.5-0'18.0'7-0
S~eAddress ~\..,\;)O S\j '-c\~o~, T'~;J\.,
Lm Block Add~~n_
Owne(sName ~l)V'\ '\\")'n".!\)~
Address ") '-\ d U S. \I I.. '" 1M 0...... Ji! T'r-tA" \ \.
Heating Co~raclor. ~ + ~ A)',.. -s:: Y1 l
Address. \\0 ~ 'l<O ~ t \ Lun.....4 0.v.c
\ ~. . _ .,l. _ \ 1
Telephone#.'~ 1- 1)' .;2.-'
Furnace Make & Model l '"" "'y"" 't ~
ModeISize5~-""v P- \ C)(j-d 0
Conn. Load
Fuel ~ '-\ \-
Flue Size
fV <-
Supply Openings
Return Openings
Input \ ")~, C\~ () Outpuh <,
~(\)
Edr.
Cfm.
, "-\ ~S-
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
Merations
TYPE OF WORK
Replacement '><' New Construction
Repair Est. Comp. Date
Est. Cost $ _:l \.n ~ \'\ ..,. ~ 8uilding Perm~ #
HEATING PERMIT FEE $ "3 ~ SO
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ '\ ~ ~
00 ,0 90S-
,
Receipt #
3e4-90
,
TYPE OF STRUCTURE
I.PinkA~
2. Green - City
3. Yellow Contractor
Single Family .X
Commercial
Public
Multi-Family
Other
Two-Family
Industrial
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
r:"iemember to add the State Slm..h~..:o ....... fho. t'ntt.....1Tl nf thie- !:I~~n
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 buildino I2lill!li1 number before build-
ing certificate of occupancy will be issued.
!:lEAT CALCULATIONS RFOLJIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or add~ions 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 alro~: which requires review and approval of PI~~ \ \J _ ~
A.ure -
__ to. 10 . c.D
Bl.6Iding nffical's Signature Date