HomeMy WebLinkAboutMechanical 00-0623
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
s.rl..OI
.3:00
ADDRESS
32C,5 BU7/bJ:::J\JuT
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:) n
('fOCPAM8I/\1
) ~(e
(_o~.e \
OD -O~ Z.3
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLAtt.E FINAL
o GAS LINE AIR TST /L...
,. FIJRN~C!-6 'f\
~RK SATISFACTOR\, PROCEED
o CORRECT ACTION ANIIl PROCEED
o CORRECT WORK'leAL _ FOR REINSPECTION BEFORE COVERING
Inspeelor: % -\ //.- wA_ Owner/Contr:
CALL 447.9850 FOF THE/NEXT tNSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMEf TS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"-"1---.
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. rn - t"I~.5
PrJor lbke, MN 55372
HEATING APPLICATION I PERMIT
Date 11/ i/{)O PID# c5"- \L.\l- CXlq
, .
Si4l AjdreSS -3;).05- 6u #e.A..-lLu..-1- (7,-
\<1 ~ Poi'( N _ I
Lot _ Block Add~ion (~H 1"'l"nl4
Owne(s Name ~a n.fP G,e I F I' P -
Address 3;;) 0.<;" ~u.:lle-( ku f C k' .
Heating Contractor ~t.f'<I--,o' '/ I" AIe~'h r <y ~FC
Address Id-'/f-I k:!./;oL :Z:S/tL-..J itJ<J';;"
TYPE OF SYSTEM
Warm Air Plants
Gravity Additional inspections wiil be biiled at $35.00 each.
Mechanicai _ House Heating Test Record must be submitted with hlJildin'1 oermit number before build-
Air Cond~ioning J;A..,.....f Sc I C-..J ,co3v.;..... ing certificate of occupancy wiil be issued.
Vent. System v \. ;l..5 ,,-'''-
HEAT CALCIII ATI()I\J!; REQUIRED with number 01 supply and return openings listed per
room with CFM's per opening. New structures or additions send Iloor 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.
T ~I~phone # &) r-.?
-
r-
F<:4u rJ /JrJ
Furnace Make & Model ~~
Model Size 1'_~() R~Jr0 4'd-afCJ
Conn. Load XOr!:JCDQ
Fuel ~Flue Size ''''
Supply Openings
Return Openings
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Input
Edr.
. Output
Other Devices
Clm.
TYPE OF WORK
A~erations
Replacement .,{
(
Est. Comp. Date
New Construction
Repair
Est. Cost $ Building Perm~ # .
HEATING PERMIT FEE $-.3CJ. sV
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ 4,t)eJ
ClO-Ohd_S
Receipt #
TYPE OF STRUCTURE
1. Pink
2. Green
1 Yellow
File
City
Contractor
Single Family X.
I
_ Two-Family
Industrial
Multi-Family
Other
Commercial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
. . rrilial, Additions & Alter~.,
---
Residential, AC Only
1 % 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
'L\)
Remember to add the State SUrChart"lA on thA hnttnrn nf thi~ ::.rr1ir:::.tinn
The price 01 your heating permit includes one rough-in and one final inspection.
City Hail business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447.9850
I hereby apply lor a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work wiil be in conlormance
with the ordinances and codes of the city and with the state buiiding/mechanical
codes; that this lorm 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 01 all work whitfireooires review and approval 01 plans.
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