HomeMy WebLinkAboutMechanical 00-0788
DATE
TIME
/.'l~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
{f-7-0
ADDRESS
~-r; ~ f (]r055 ClII../(/r~
OWNER
CONTR.
PHONE NO.
PERMIT NO,
'(!)- 'if?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRAD/FILLING
o MECH RI @iCOMPLAINT
o WATER HOOKU FIREPLACE RI
o SEWER HOOKU FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
COMMENTS:
//
(
--. :~'"
_~.4--.-
~. ,"
__ ..,;,f"'
~
\6 WORK SATISFACTORY, 'ROCEED
~ CORRECT ACTION AND 'ROCEED
o CORRECT WO-': CALL FOR REINSPECTION BEFORE COVERING
Inspector: n ( Owner/Contr:
CALL 447-9850 FOR' 'HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMEN1 YARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. 00.6788
Prior Lake, MI'I 55372
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT
Date 5epf( /d; 'no PID#2?-7.Qq ~ fJ51-0
S~eAddress 57~ / ('r-n s.1i lJ.J4.Ii.Y'tL S{...
Block Add~ion Industrial, Commercial & Multi.Family
Dwnefs Name n _. . . I J I ... {!) r- Residential, Heating & AC
~ _. fI\ -"_ () Residential, Heating Only
Address ~7 (ro I ~ s" ~I g ~. tlr..1l2il.ake. Residential, Gas Fireplace
Heating Contractor ~ \'~p ~ 1\,0 0 C(')\~" (}<rj/tl! f'P~ t::.N'6,f) Residential, Add~ions & Alterations
. I e Residential, AC Only
~R"S"' () _ ()~ ButYl"I.1 '/le/ffj;{%337
Telephone # '1';:J. _ K ~( J ~ (;) -/<" f'i RAmAmber to add the State Surcharae on the bottom of this application.
Furnace Make & Model lied1_:::W-('''''/O
Model Size SL ~?Sf) 7".S:'
Lot
Address
Conn. Load
J ---' Cl.1I II
Fuel /J (-r Flue Size V f 5" ...(.
. fI'Wicr (/11111
Supply Openings
Return Openings
Input
Edr.
1~()()O
Output
Cfm.
/r"r)
TYPE OF WORK
A~erations
Replacement
Est. Comp. Date
Repair
Est. Cost $ _ ~O DO
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Single Family _
t/
Multi-Family
Other
. Two-Family
Industrial
Public
Commercial
Fee Schedule
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
The price of your heating permit includes one rough-in and one final inspection.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices _
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with !llIlli!i!!g l!ltl!!li1 number before build-
ing certificate of occupancy will be issued.
HEAT CALCIJI ATIONS REQUIRED 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.
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
New Construction
Se/J/. :2.. J d
CJ6- 0788
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 buildingfmechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFI~y.q; that the work will be in accordance with the approved plan in the
caseMI work which requires review and approval of plans.
- ~jgnature' ~~ajS+j!()
~ f./.OO
Btding Offical's Signature Date
Building Perm~ #
,
.50
Receipt #
~8Z7fJ
,