HomeMy WebLinkAboutMechanical 00-0789
CITY OF PBIOR LA1E
INS.PECTION NOTI E
ADDRESS 51./ 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
ilNSULATION
~...L
Go-- 0 SITE INSPECTION
SCHEDULED
r> lOA Tj TIME
~ 4r
I fio -l;b Sf:
{:
CONTR.
PERMIT NO.
-1fjf1
o PLUMBING RI 0 EXlGRA
o MECH RI ~MPLA T
o WATER HOOKUP IREPLACE RI
o SEWER HOOKUP FIREPLACE FINAL
o PLUMBING FINA 0 GASLINE AIR TST
o MECH FINAL 0
COMMENTS: ~~. :"c::.r-rf
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)f]WORK SATISFACT' IRY, PROCEED
/0- CORRECT ACTION 'ND PROCEED
o CORRECT WORK, ( ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 1"'"
Owner/Contc
CALL 447-9850 F OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREll< ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
TYPE OF STRUCTUR~
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 00. 0789
Prior Lake, MN 55372
J
Single Family
Two-Family
Industrial
HEATING APPLICATION I PERMIT
Date~ - \ ,i. \OQ- PID# ZS-77.Q-O/h-Q
S~eAddress SlI.Jl/J .~Q)i~ c.~.
Commercial
Fee Schedule
1. Pink
2. Green
3. Yellow
File
City
Contractor
Public
Multi-Family
Other
Lot Block Add~ion . .
_ Industnal, Commercial & Multi-Family
-- . S
Owner's Name - L!1.M.! III '~ Residential, Heating & AC
- . Residential, Heating Only
Address &CfJ) /c;-rJ-fh. - ~ . 91'1' m{ t,qk.. tJ) fJ1A1. Residential, Gas Fireplace
Heating Contractor t-:( ~\P S IJ e.. (lor}ll ~ (' /1)/ J l' e.,A F il/'BS/'Je Residential, Additions & Alterations
'7.... ~ {- ResIdential, AC Only
Address _'" {)l:;"" n'~ IJ fAr'Vl '} lit 11e J!//IJ
n _" ~~. _ _ ~ -<-JIl . / j;5"'3J7.
I elephone # 7, J I.lt - () -".J _ L/ I.~ X Rcarnornho.r tl'\ "'nn tho. ';t",to C:;:, '.......J:tat:Qe.-.r-n tho h"':"ttQm {lot this a~~licatic~.
Furnace Make & Model rf1.LJ%l,4/JJ14t1~ AIR CONDITIONER UNITS CANNOT
C I. h ~~~ F, '.... Q;.'- "l.J ENCROACH INTO SIDEYARD SETBACKS.
Model Size OJ 11 WI I fX ~j. . ~
- TYPE OF SYSTEM
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Additional inspections will be billed at $35.00 each.
The price of your heating permit includes one rough-in and one final inspection.
House Heating Test Record must be submitted with buildino ~ number before build-
ing certificate of occupancy will be issued.
!::!.EAI r.ALr.LJLATI()N~ BEQLJIRED 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 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
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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1/ App ican~p;'4jfI'1' .. . Oat
'jjj/1LfA..- q - ( . ()()
BUildinjriCaT's Signature Date
Conn. Load
Fuel -11JG' Flue Size
Supply Openings
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Phone: (952) 447-9850
Return Openings
Input 3A'lJOO Output.
Edr.
Clm.
TYPE OF WORK
Merations
Replacement
tlj~ Co;;~ction
- { -" ...,
Building Perm~ # ()o . 0781
Repair
Est. Comp. Date
A~O(l
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
.s~z-7fj
Fax: (952)447-4245