HomeMy WebLinkAboutMechanical Permit #00-0135
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
.
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yel10w
File
City
Contractor
HEATING APPUCATlON I PERMIT
Date ~~ ~ loo PID#~-Z.I
Site Address s:&l 0 ('en,.J,' III 0 l 1<, Jg..""'-' JIA~ "; I Fee Schedule
Lot Block Addition Industrial, Commercial & Multi-Family
OWner's Name ~ ~O US! '11-1- Res~de~al, Heating & AC
- (, '" ., ~~ __ Heating On~
Address , ~ ' ''It:J ~ Residential, Gas Fireplace
Heali~ Contractor F,. rP S ~ g;;; l : '&}.//;ti/ hfvbk- :::: :~o; & AAeratlons
'2[>CrJ Wil1A/~/j OttY'Hrvltltr IJJJIlft-J37
Telephone # ~:2 _ ? qp- /'1?~ . Remember to add the State Surcharge on the bottom of this application.
Furnace Make & Model HeCJf- Y/J"Gfo TYPE OF SYSTEM
~Z Warm Air Plants
Model Size ; ? n r1rJ T Gravity
Mechanical
Air Conditioning
Vent. System .
Single Family _
1./
Two-Family
Commercial
Industrial
Public
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50 PLEASE NOTE:
$64.5C Air Conditioner Units Cannot
$39.5C Encroach Into Required Side-
$39.5C Yard Setbacks.
$39.5C
Address
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
/) J r:=
House Heating Test Record must be submitted with building permit number before build-
ing certificate of occupancy will be issued.
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input -P'<90C) Output
HEATING OR POWER'" U_
Steam .
Hot Water
Radiation
Special Devices
REQUEST FOR INSPECTION
SENT TO HOMEOWNER 2/03.
NO RESPONSE. CLOSE FILE
1:IEAI CALCULATIONS REQUIRED with number of supply and return openings listed per
ening. New structures or additions send floor plan with supply
wn. HEAT LOSS CALCULATIONS, PAYMENT AND
: MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
R LAKE, MN 55372.
Edr.
Other Devices
are 8 a.m. - 4:30 p.m.
'U.Lo Run" ...u~ I DC INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Cfm.
lft{? ,
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
4().00
Receipt # . 3&?M-
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 M work ;hiC re ires revi;~ approval of ;~J J.() tf' CrJ
~p \ /D~ '
'3/140U
Buildintf' Offical's Sianature ' Date
TYPE OF WORK
Repair
Replacement New Construction
Est. Comp. Date /lpr ('{ I (J fA 'arJ
~ Building Permit # tJ ()- O/3S
Alterations
Est. Cost $
HEATING PERMIT FEE $ .:3? 57J
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS'~ .5SIo
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
2S ,067
V
(~~
~ rL~_
~~
11~
~~ Tb~
9:-00
TIME
SCHEDULED
CONTR.
PERMIT NO.
('J() -C"J I.?S
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI ht"~OMPLAINT
o WATER HOOKUP I')~~REPLACE RI
o SEWER HOOKUP ;J. ~F: REPLACE FINAL
o PLUMBING FINAL A. SLlNE AIR TST
o MECH FINAL 0
O\A
~s
\;~
()
~. ~ tM./v,,,-..A.""0
c>>
---
//
/
/
Inspector:
ED
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~O{
Call;~' ~t<-4e Tr.
t
CITY OF PRIOR LAKE
INSPECTION NOTICE
.. SCHEDULED
ADDRESS 58 I 0
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:
. DA~E TIME
q:..Oo
()6 - 0 f 35
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
jiI FIREPLACE FINAL
o GAS LINE AIR TST
o
-vU~~ ~uJ'('OUII\~ S-e.t:AM5
+00 e...~e.- +0 .-*\re-Db
V
4+7-q e5;L1
~
, t) {\Ace--
#WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
pORRECT;:OR~CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl