HomeMy WebLinkAboutMechanical Permit #00-0071
.~'~R~~),J"',"". ~".~~''''''''''''''~'~ ~~l~ __,~_.~ ~ -. 4-AfJJTi, ~.1It".1.,1~... '........_ j':'.ll~'~~~~~
PID#
,n.
P-~I Age ,MQ ~ 1-
Addition f~~L -s It ,~ Industrial, Commercial & Multi-Family
{), I L1 \ !~. f' Residential, Heating & AC
C. V\ l A ( .. z . r1 {,I l' ~ . . Residential, Heating Only
Address /5'':;- (fj ~ ~ \ I~ (\ P fJl}( ,}/i l tl 1/1' Residential, Gas Fireplace
C.' .. -- '- p . J ~ J /I) j. Ii r. . t Residential, Additions & Alterations
Heating Contractor -J..-..l...Y ( (' I I'; , (J Y Jt1 tJ .1'> /,~ h!, (ft. r'~ Residential, AC Only
3:5 3- (J I J.J. /-1 J.uy J? J!;.{.fIYJ)J;1 ~!/{J.f11l/) .$'33?
r~ I n C'>Q( i/") '7 5~r} 'Remember to add the State Surcharge on the bottom of this application.
Telephone # {.!J:.'" - .} _ J-. 1./ . J"J
Furnace Make & Model Ii (.)111.- jl/-{J;k TYPE O.F SYSTEM The price of your heating permit includes one rough-in and one final inspection.
., -- 4.,0' : j' J.' ..-f: ' l:-' Warm Air Plants . . . . . .
Model Size H) ~'J.. 115 f f. I Gravity Additional Inspections Will be billed at $35.00 each.
Mechanical
Air Conditioning
Vent. System
Date
r'cb.
Site Address
Lot
Block
Owner's Name
Address
Conn. Load
Fuel if\) r:;.
-. .....
Supply Openings
Return Openings
Input J,Jf(;()(J
Edr.
Cfm.
I r;; ()
Alterations
Repair
Est. Cost $
CI;ry OF... PRIOR LAKE Me
16200 Eagre Creek Av. S.E. Permit No.
Prior Lake, MN 55372
I. Pink File
2. Green City
3. Yellow Contractor
OU-G'>(:~I ,
TYPE OF STRUCTURE
tI
HEATING APPLICATION I PERMIT
i\ \^
~Qv-~d
J ':F._'i{j?? ~
Single Family
Commercial
Public
Multi-Family
Other
Two-Family
Industrial
,2 s 4(,....:: 4 -LA'?\ ' 0
flll f'# _
Fee Schedule
1 % of job cost ($39.50 minimum)
$99.50 PLEASE NOTE:
$64.50A. C d" U' C
$39 50 If on ItIOner mts annot
$39:50 Encroach Into Required Side-
$39.50 Yard Setbacks.
House Heating Test Record must be submitted with buildinQ permit number before build-
ing certificate of occupancy will be issued.
Flue Size
HEAT QALCULATIONS 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.
Output
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
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 the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of aJl~..,ork WhiC~. quires review and approval of plans.
" . . /1
/. JI \ / j ,1/'. /' / / . /
,. ....' I J,-' I /' . ~ /: - <f~
! I -."..l, # .1' '/ ,i , .~/- f,,,. I ./ /
u:A/ /,i~'\""~ u.. 1/ ) / :~f :<, .~~ 2 I."V}
l/ . ...wrliC3jf;gS~.' '( . D1e ......
/;. 'I I) '., ~
". f ., -' .~ --
r {'./v-{' '!. -, (. / ,: ,....,.,;;)
/Building Onical's SignatUte Date
....._.~..,r-
. Replacement
New Construction
. Est. Compo, Date 1)1 /J V rJ, /5i~ ClJ
-')
"" 1 ') -\
;,1-, i (JC) Building Permit #
, '1
->
'~,..,I
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
~
.d,. reO,
- \ ~) ~ "-'" '_0-
Receipt #
--) c.....
-'"L.. 'I Y~J
SCHEDULED
DATE
31Jv.1
TIME
'"
CITY-Ofi PRIOR LAKE
INSPECTION NOTICE
q:~
ADDRESS I %<- ~ I~,asp- ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
6,....?(
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
o EX/GRAD/FILLING
v'\ _ O...cOMPLAINT
~ ~EPLACE RI
t\ ~}REPLACE FINAL
,~ c"p...GASLlNE AIR TST
o
COMMENTS:
&t,. ') M
Gl.^-
Vlr;f
c) \I\..--
CLOSED DUE TO
INACTIVITY 1/1/03
FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI