HomeMy WebLinkAboutMechanical Permit #00-0080
CITY OF PRIOR LAKE Me 00 - 0" 00.0'
16200 Eagle Creek Av. S.E. Permit No. U
Prior Lake, MN 55372
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
C",,, ""..1Ir
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HEATING APPLI~TION I PERMIT
I '
Date J:;.tJ j ~sJ-A () 0
Site Address --5"'(1):; (;;
Single Family
Commercial
v
Two-Family
Industrial
Multi-Family
Public Other
,/'
~
PID#
I?TJ~ Sf.._
Fee Schedule
Lot Block Addition
Owner's Name ~ h SIX- (-elLa.
.~CR,5~ ISerfAs/... .
Heating Contractor F"lfleSIJ. (l wV'JIIl!r /4--// t'ttf &'fe.,uj ~
~SrJ lj/, ~. 5" ,~v,11rj1fJ1)
1'.... /h (?'\ C'/ /1 ~ '" n "G"-3:J7 Remember to add the State Surcharge on the bottom of this application.
Telephone # w....L,?- - 1\ t...(..../- V _"7 ~
Furnace Make & Model ~ TYPE OF SYSTEM The price of your heating permit includes one rough-in and one final inspection.
Warm Air Plants
Model Size, . < /... -lfi5""(}T/l. S Gravity Additional inspections will be billed at $35.00 each.
Mechanical
Air Conditioning
Vent. System
Address
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50 PLEASE NOTE:
$64.50 Air Conditioner Units Cannot
$39.50 Encroach Into Required Side-
$39.50 Yard Setbacks.
$39.5C
Address
Conn. !,.pad ..
V .. I(
Fuel ~t-Flue Size ~
Supply Openings
House Heating Test Record must be submitted with building permit ~ before build-
ing certificate of occupancy will be issued.
Return Openings
Input iiJt)()Cl- Output,
Edr.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
J:iEAI QALCUI,.ATION~ 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.
Alterations
. Replacement
New Construction
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.
.-... , f A ~ 'J/ /1 . FeJr 2~ t:rJ
Applica f. . - { Date /
2-2S-..'2000
Date
Cfm.
Id;o
Other Devices
TYPE OF WORK
Repair Est. Comp. Date PtIlV' ch /57'r hfl)
Est. Cost $ f)JJfJt) Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt # 3(., ~~
SC.tIEDULED
~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
'2:00
ADDRESS
5~3Ca 15o--lh Sr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-80
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
,,0 YOMPLAINT
IV fr ;g ~IREPLACE RI
o FIREPLACE FINAL
~~GASLINE AIR TST
o
COMMENTS:
1. Tr~ tIA. at"~ +4 .r;.~ ~(aAl,...
/1.AAo.J (\", f l +: t l'e.. C? tu. e. ~!~ I b-L
~f~ ('~(~
~
\
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORRE~ 'f:;CAU. FOR REINSPECTION BEFORE COVERING
Inspector: -P Owner/Contr:
CALL 447.9850 EaR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
INSNOTl
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHIiPULED'
!/dfo,lo I.. '): (!) 0
ADDRESS
6~3G,
15t)~
OWNER
CONTR.
PHONE NO.
o - 80
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP ~FIREPLACE RI
o SEWER HOOKUP FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
COMMENTS:
~~- :;--.,...:;)
_~~_._."l>'~"""
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i?":
(<1 /KU --:h:/J {/ . '
- t.. -
-'"
~
.J1l WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~'\
(
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTl
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