HomeMy WebLinkAboutMechanical 00-0830
CITY OF PRIOR LAKE
INSPECTION NOT/C/;
ADDRESS
~~Z{?-
DATE TIME
SCHEDULED 9-~ ?~9 ~
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OWNER
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PHONE NO.
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CONTR.
Q FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
PERMIT NO.
,-Q- R~
COMMENTS-
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/F'LLlNG
o lKSHORElWETLAND
o COMPLAINT
Ad SEPTIC FINAL r- /
),(FIREPLACE r A/
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~. SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC LL FOR REINSPECTI IN BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXl INSPECTION 24 HOURS IN ADVANCS
CODE REQUIREMENTS ARE FO, ' YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
Date
Sfte Address U2I)(J
PID#
J~C)()fh .s:
HEATING APPLICATION I PERMIT
q~-OO
Lot Block Add~io~
Owne(s NameJi rn +- vo...ll.tt l<JAr h
Address 1I2.{f) I r;yr/h s+
Heating Contractor HytSlM ('n--LhLY
Address "3550 \A\. +fw~ I ~ - RIAInq"n If f}1#,J SS3S7
of.fI '
Telephone# "t'L/7-~ 7 &?-i-
Furnace Make & Model aIlad I ~
Model Size J2.VI "3SS
Conn. Load
Fuel N t\
J
Supply Openings
Return Openings
Input.~ rr{Jutput
. ,
If I(
Flue Size
Edr.
Cfm.
TYPE OF SYSTEM
Warm Air Plants
Gravity _
Mechanical
Air Condftioning
Vent. System.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Afterations
V TYPE OF WORK
Replacement New Construction
Repair
Est. Comp. Date _
00.0830
TYPE OF STRUCTURE;
L Pink
2. Green
3. Yellow
Rio
c;ly
Conttoctor
Single Family .
Commercial
v
. Two-Family
Industrial
Public
Mufti-Family
Other
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Fee Schedule
Industrial, Commercial & Mufti-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addftions & Alterations
Residential, AC Only
1% of job cosl ($39.50 minimum)
$99.5Il PLEASE NOTE:
$64.5Il Air Conditioner Units Cannot
$39.5Il Encroach Into Required Side-
$39.50 Yard Setbacks.
$39.5Il
Remember to add the State Surcharge on the bollom of this application.
The price of your heating permft 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 buildinQ I2!lllIli1I1l111lbw: before build-
ing certificate of occupancy will be issued.
I::!EAI CALCULATIONS REQUIRED wfth number of supply and return openings listed per
room with CFM's per opening. New structures or a . u, "~za ~~1
and return locations shown. HEAT LOSS CALCUlJlB ~ ~T~~..",
APPLICATIONS MAY BE MAILED TO THE CITY Of ~ JH LA"", ,goo,^, ",.3L1R '
CREEK AVE. S.E. PRIOR LAKE, MN 55372. . I I am : !
City Hall business hours are 8 a.m. - 4:30 p.m. \ \ ) f
ALL WORK MUST BE INSPECTED (ROUGH-IN AI I.S...~~, - V~~~ eFFr 1IA1}J
447-9850
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 viill be in accordance with the approved plan in the
se of all work which r~uires review and approval of plans.
(\011
. APPI
Est. Cost $ .:;.0 Building Permft #
HEATING PERMIT FEE $ j"',!jP ~
STATE SURCHARGE $ . ,. .50
TOTALPERMITFEES $ ~ Receipl#
tto-oG
36423
q-g{()
Date
9./'1-.00
Date
BUig Offical's Signature