HomeMy WebLinkAboutMechanical Permit #00-0163
TYPE OF SYSTEM
Warm Air Plants
Gravity . I _ Additional inspections will be billed at $35.00 each.
M.echani~1 ~ ~ - cJ;~ House ~~ating Test Record ~ust ~ SUb. mitted with buildinq permit number before build-
Air Conditioning J.j2Jl1E ff,(:!c.3 0 ing certificate of occupancy will be Issued.
Fuel Flue Size Vent. System
S I O. ~ JJ --It- - HEATING OR POWER PLANT
uppy penlngs ~ ~ S
team
Return Openings ~ ~ Hot Water
Radiation
Special Devices
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 0 () - 0 I ~3
Prior Lake, MN 56372
HEATING APPLICATION I PERMIT
3~ ()t) PID#.25-2q~-~53-0
J 7 /9'? ~t.(M)1o JJi/J:, .s.IE. .e /
Lot I Block 7 Addition IV 00.0 leI O~h e;r7?r/C/> Z AlP
I\F:{LV e /If {,tJ hI! ,v
, I
Address ::5A#t~
Heating Contractor RF[ {~Afe /ll;4;"HlC-
Address ~ d 3 -=f., It i<.S~~~ N J".d,;", 5S3:5. 2-
.t/ Y;l.. - 31 () f
Date
Site Address
Owner's Name
Telephone #
Furnace Make & Model
Model Size
Conn. Load
Input
Output
Edr.
Cfm.
Other Devices
TYPE OF WORK
Alterations
Repair ? 91.9
Est. Cost $ .
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
, New Construction
Replacement
Est. Comp. Date
Building Permit #
"39.57)
.50 3/1/3
d-O . O"b Receipt #
(J?) ~ 5
TYPE OF STRUCTURE
L Pink
2. Green
3. Yellow
File
City
Contractor
Single Family .
Commercial
~ Two-Family
Industrial
Public
Multi-Family
Other,
Fee Schedule
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
$64.50 PLEASE NOTE:
$39.50Air Conditioner Units Cannot
$39.50Encroach Into Required Side-
~ ard Setbacks.
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
HEAT .Q.AU~I''-ATIONS BEOUIRED. 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.
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~. wi icch requires review and approval of plans.
"-.. 1Yz1.. / ~A ~ -1-;"' .3 ~-" 6
APPlicant'~ / Date /
3/2-8/00
, Da(e
BUildin7ical's Signature
DATE TIME
CITY OF PRIOR LAKE *-k to ~ro
INSPECTION NOTICE SCHEDULED
ADDRESS \,IClOJ -r;;("~~ ~ Av~
OWNER CONTR.
PHONE NO. PERMIT NO. 6 - {(P3
o FOOTING ~PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
!' FINAL - ~ ~ ~LUMBING FINAL. EJ....--..".... '.IINIiAIR TST
o SITE INSPECTION ~ MECH FINAL 0'; fr, fA
COMMENTS: ~;::"'.\.
A-'L -_
QS?~
~
9( WORK SATISFACTORY, PROCEED
10" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'hr
. ./
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl