HomeMy WebLinkAboutMechanical 00-0426
l CHEDULED
~
TIME
. OF PRIOR LAKE
INSPECTION NOTICE
4:00
ADDRESS A9CH~
MIi A .,L 1<l &.a1o .
OWNER
C ONTR.
PHONE NO.
F ERMIT NO.
o-l/u
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUM liNG RI
o MECH RI
o WATE ~ HOOKUP
o SEWE ~ HOOKUP
o PLUMIilING FINAL
o MECH IFINAL
o EX/GRAD/FILLING
o COMPLAINT
/ii'S-. ~IREPLACE RI
\.!y REPLACE FINAL
(?f;) 0 GASLlNE AIR TST
COMMENTS:
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)( WORK SATISFACTORY, PROCEED
Id CORRECT ACTION AND PROCEED
o CORRECT W~, CALL FOR REINSPE mON BEFORE COVERING
Inspector: ~ 0--- ' OWller/Contr:
.., /
CALL 447-9850 FOR THE NEXT INS 'ECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YO UR PERSONAL HEALTH & SAFETYI
INSN IT]
iiJi"
,..5i'
;; 0" 1. Pink
" ~ PRl~O f" 2. o...n
(>, 0 ( CITY OF PRIOR LAKE Me if: 3. Yellow
1i~\ '''''?........ A.. S.E. ...~. No. 00",-, tfJ4.;J (, TYPE OF STRUCT,URI;
~ PnorLa~,MN.!i5372 ","? " V _' ~ ','
, HEATING APPLICATION I PERMIT t",. ',' SIngle FamIly ,TW, 0 F~,~ ~ n ,~ \, \ Muttl Family
~" -JI1 'r 'Commercial _~ r<. ., ,-NbIic Other
Date AGJ 1../)0 PID# 6l5"-t'J"ld, n-() \",;,~,c;"/'''''''\
' " \ .
Stte Address 4 '() . ..st- . Fee Schedule 'v" .... 3 0-
\ Sot- ',I ...
Lot )'1 Block I Addttion '\ r -h ...... A-d. dun Industrial, Commercial & ~utti;Family 1 %'of jnh <>0'" 1$39.50 minimum)
~ L t U' 1!fJr- _~ ry",,... Residential, Heating & AC $99.5lJ PLEASE NOTE:
Ownefs Name . ClU'- f) IA.V' ~ .~ Residential, Heating Only $64.5lJ Air Conditioner Units Cannot
Address 4 If ttB It1 CAY f."Vl.la./ e.. S1:-' Residential, Gas Rreplacel.- $39.5C Encroach Into Required Side,
1', 'J fJ LA1l! 8' -J. Residential, Addijions & Atterations $39.5C Yard Setbacks
Heating Contractor l", V' P. 'I e. '.0 Y'IIlPr . ,'e ' ,^P "1 P Residential, AC Only $39.50'
Address "SR5() \U. ~.I_'''~I ~3 ~~,1Ie)')llV,
-., . Ii C-'1 M"iO-:-t) <') c-l'l ~ ro37 RemembAr In add the Stale SlIrnhar:gp nn tho ""ttom of Ibis "pplicati^"
........I"".........~I--'{,...f. i.I~',
Furnace Make & Model ~eY' TYPE OF SYSTEM The price of your heating permit includes one rough-in and one tinal inspection.
/) 1111 "',- \1 Warm Air Plants
Model Size ~ d';) :Is., oV <?- Gravity Additional inspections will be billed at $35.00 each.
Mechanical
Conn. Load A' Co d" .
lr n ttlOnlng
Fuel tV r:; Flue Size Vent. System,
File
Cily
""""""'"
House Heating Test Record must be submitted wtth t!lIiIdiolllllWIlillllllllbllJ: before build,
ing cert~icate of occupancy will be issued.
Supply Openings
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
I:IfAI CALCULATIONS REQUIRED wtth number of supply and return openings listed per
room with CFM's per opening. N_ structures or additions send floor plan wtth 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.
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
'... "'{);;:!)," ";~:I~ '"'~'" ~ ~1.( ~
I J ~'ican . re -i1ila .
~A /0.. - '1m
o Building Offical's te
Retum Openings
Input 3:2.000
Output
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
Edr.
Cfm. /!1.o0
Other Devices
TYPE OF WORK
Atterations
/I'
New Construction
(oll'2.JO()
I . - ...
ern -()4 d6
Replacement
Repair Est. Comp. Date
Est. Cost $ ~ Building Permtt #
HEATING PERMIT FEE $ 7PI. 50
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ LI () . C10
Receipt# 2/bb4