HomeMy WebLinkAboutMechanical 00-0621
CITY OF PRIOR L lKE
INSPECTION NOT CE
DATE TIME
SCHEDULED 'is! I cr{rJD
~ v-e.....h l' J.. < r 5l.
4.' (j)
ADDRESS
"5 -
, '"" t'" ,~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INS PECTIC IN
COMMENTS:
CONTR.
PERMIT NO.
c'11'1 - () c:..:;) 1
o PLUMBING RI 0 EX/GRAD/FilLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP~ 0 FIREPLACE FINAL
o PLUMBING FINAL I Ji!rG~~R TST
o MECH FINAL jIi
fJ/t-,
U-
..........- -"".-
( (O/~
-.
...............-.......
r-c4
~)
, jlol,
-
j/WORK SATISF"CTORY, PROCEED
(0 CORRECT ACT ON AND PROCEED
o CORRECT WOI :K, CALL FOR REINSPECTION BEFORE COVERING
,~,
Inspector:
CALL 447-9150 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQU, REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
----~-----"---..-,-- "'--r--------
INSNOTl
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. (')()... (\6::2/
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date 7 - If{' - 0 () PID # ..;:>c<:::;- - ex ~ '\ - fJlY- - ()
S~eAddress /(;)5ftJt::) Five-hawKS Ify~ 'SF
Lot ~ Block I Add~ion t>n (J("vi UJJ 6<1'4l ~
Owne(s Name IY ieia D iA I-+nn
Address MI/;5 fj'VbhaW~ lip~ SI=
Healing Contractor Won leI's SOu{b..;;.Jdr-. ,~.
Address b'o/5() ft/ / 'fh '-i1:.. ,W - ,ji //74- II) 0
-:-aIOllhanc'" L/ -?/ - -y .f)~
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cond~ioning ~i) d. iI:u::L
Vent System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
Fuel
Supply Openings
Flue Size
Return Openings
Input
Edr.
Cfm.
Output
Other Devices
TYPE OF WORK
A~erations
v
New Construction
,
Replacement
Repair
7 -;;)'D - 00
Crr'\- ()l.,:J1
Est Comp. Date
Est. Cost $ I q K.~. ~ Building Perm~ #
HEATING PERMITFEE $ 2., OJ. 5c.:>
STATE SURCHARGE $ .50
TOTAL PERMITFEES $ q() . DO Receipl#. ~~X'() I ()
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
.x
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Add~ions & Alterations
Residential, AC Only
r
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50 'lH 2 0
ct,~q50'::::> .) ."~
$39.50
Remember to add the State Surcharae on the bottom of this applic~tinn
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildin~ oerm~ number before build-
ing certificate of occupancy will be issued.
!::!..EA[ Q"'r.111 ATIONS "'<=r>IJI"'<=n. w~h number of supply and return openings listed per
room with CFM's per opening. New structures or additions send lloor pian 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
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 all work which requires review and approval of plans.
;,b,uJ e: 0Aff1j'.IA/7 7 -IR' - (;0
/ Date
"7&crkJD
I Drfe