HomeMy WebLinkAboutMechanical 00-0654
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3.7-01
2:3.D
ADDRESS
/.S2J4- PLs- r-r--pr J20
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OO-OG54-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI@t:COMPLAINT
o WATER HOOKUP IREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBIN7FI.NAL.. ... 0 GASLINE AIR TST
o MECH FINAL. 0
/.
t:
COMMENTS:
)'lJ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPEcTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1N$NOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 162.1-+
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
I
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,
I
I
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COMMENTS:
'ts 10'5',
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DATE TIME
SC)iEDULED ~ q: Cfb
t=rs /..J 'P.. RD
{
CONTR.
PERMIT NO.
6- c"St../
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
I'i 0 COMPLAINT
rr ~ FIREPLACE RI
t\ ~FIREPLACE FINAL
r< 1"- GASLlNE AIR TST
o
6..fY
~
( f r /
\ /
0"'-
o~
l
<; lDI'L':""'>
V
Inspector:
~EED
AND PROCEED
:ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CALL 447.9850 F lR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE \EQUlREJENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
-~- lNSNOTl
CITY OF PRIO~ LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 0 D. 0&54-'
Prior Lake, MN 55372
HEATING ARPLlCATION I PERMIT
Date '~h Jj j~ ao PID.# 2.5 -tJ3:t - 010 - 0
StteAddress LS-~/t/ l:::;~itfnll4+ .l2oa4
TYPE OF STRUCTURE
1. Pink
2. Green
1 Yellow
File
City
ContraclOr
Single Family
Commercial
t/
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Lol
Block
Ownefs Name OI?Jt
1/;'(11--0
Industrial, Commercial & Multi-Family
Residenlial, Healing & AC
Residenlial. Heating Only
/5~ / tj Ff sh /0 It/l f I< f1jJj'a Residential, Gas Fireplace
H . Co A fJ. \' {11 A ~t' fPy.. /.4//' /I ,r, e s ,p(' Residential, Addttions & Allerations
eallng nlractor - r I -,,~(.~)If 1I~lL,,1'-IY' /(;...... R'd' I ACO
? . eSI enlia, nly
Address -:;;J!'S() (/.J. 11-1.1/1'1 . / 3 /?;(AJ"YIfl;,!lerH/..
;zlephane # _Qt;":~- PI '"7,") -,': <;'~ S".533'7 Remember to add the State Surcharae on the bollom of thi~ ,mnlio"tinn
Furnace Make & Model .Heoi--J1J,-fJ-/()
Model Size #7-;')01'1' 1'.-J'r\P-. t',.'lStJv-.t
I
Conn. Load ~
v-
Fuel --1JJ...(;: Flue Size
Return Openings
Input '1 '111 r:J (1)(') Oulpul
Address
Supply Openings
Edr.
Cfm.
J(;,{)
Merations
v
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE
TOTAL PERMIT FEES
Addttion
1 % of job cost ($39.50 minirnum)
$99.50
$64.50
$39.50
$39.50
$39.50
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
f).. -611F!et Air Condttioning
.41181".> Vent. System
UI'v'e-qVenr. HEATING OR POWER PLANT
Sleam
Hot Water
Radiation
Special Devices
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections wili be billed at $35.00 each.
House Heating Test Record must be submitted with MQing oermil number before build-
ing certificate of occupancy will be issued.
HEAT CALCULA:':.")NS RFOLJlRED wilh number of supply and return openings lisled per
room wilh CFM's per opening. New structures or additions send floor plan with supply
and relurn 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
447-9850
Other Devices
TYPE OF WORK
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 lhe BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of /Irk W~!fJ?;;l~ approval o:I~~. d fJ~ by
'~YP'/'J1"'JfJe ., V Date
~///~ 7.2-8.00
BUig Ofrical's Signature Date .
2 (1J()(1
Replacement New Construction
_ Est. Comp. Date II U f:J J VI ,a.-
Building Permtt # 0 0 . (k54-
3'1.50
$ .50
$ 4'tJ. 0 d
Receipt #
3804-=:;-