HomeMy WebLinkAboutMechanical 00-0740
CITY OF RIOR LAKE
INSPEC ION NOTICE
SCHF"
OATE TIME
,2.-0 I 4:00
ADORES
/ 4-Z~4-- 07 N Ow tNCOD
OWNER
PHONE O.
COMM NTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL ;(;:::\
o MECH FINAL I v::5J
.,..._"'.. .' ,l..
() - 74-()
o EXIGRAO/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLI E AIR TST
'1 fj
~WOR SATISFACTORY. PROCEEO
o CORR CT ACTION ANO PROCEEO
o CORR CT WORK, CALL FOR REINSPECTION BEFORE COVERING
~(
Inspector
Owner/Contr:
CA L 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO E REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
File
City
Contracto
I. Pink
2. Green
3. Yellow
TYI:)E OF STRUCTURE
(JO.0740
Me
Permit No.
CITY OF PRIOR LJ.\I(E
16200 Eag'e("~.. $.E.
Prior Lake, MN 55372
Multi-Family
Other
Two-Family
Industrial
../"
Single Family
HEATING APPLICATION I PERMIT
-/5'-00
\
Public
1 % of job cost
$99.50
Remember to add the State Surcharge on the bottom of
Commercial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential,
Residential
Residential.
Residential.
Residential
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
-0
PID #
Date
S~e Address
JL
Owner's Name
Address J,
Heating Contractor
Address
Lot
before build-
building oermit number
The price of your heating permi
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Cond~ioning
Vent. System
Furnace Make & Model
Model Size
Conn. Load
Fuel
HEAT QI\! ~ REQUIRED 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.
091..{
i'- ..0 rJ
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
Flue Size
Supply Openings
Return Openings
CALL CITY HALL
City Hal: 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)
business hours are 8 a.m.
Output
Input
Edr.
Cfm.
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 will be in accordance with the approved plan in the
case of all1work which require~review and approval of plans.
Other Devices
New Construction
TYPE OF WORK
./
Replacement
Atterations
'i;-Is--OO
Date
a'lL/.
Comp. Date
Building Perm~ #
'So
Est.
Repair
Est. Cost $
Receipt #
50
3
HEATING PERMIT FEE $
$
$
STATE SURCHARGE
TOTAL PERMIT FEES