HomeMy WebLinkAboutMechanical Permit #01-0516
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. ~~x PR10lj> (~7 CITY OF PRIOR LAKE Me
u ~ 16200 Eagle Creek Av. S.E. Permit No.
~ Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date OS) ~L.( J 0 I PID# (l,~/ I Z)g-/OCJ~-O
Site Address ,1553 L./ R. i djG..1YlOVlt AV-enu,~ ;)E
Lot f7...., Block I Addition ~.~ 8 rd I'b~
Owner's Name J;ay- V I Co h h i ~ Pe r r .' h
, ,
Address l5.564 12., da-e h10Vl+- Ave-nlA.& Sf
V
Heating Contractor .wo ~ \~y ~ SQ.\,A .+hc; i de ~. r '" , C I I V1 C- 4
v
Address ttA'30 W€$-t l4t?~h ~1Yee+: q,ui+e- 10to
Telephone # CI6J. J L.4 3 \ - 1 0'\ ~ .. . - Il A
Co.. If r i eA" I
Furnace Make & Model c:;~ M)( A () II Q
Model Size
(00,000
AIR I REQUEST FOR INSPECTION
ENC SENT TO HOMEOWNER 2/03.
TYF NO RESPONSE. CLOSE FILE
War
Conn. Load
Fuel Y'\llkLtraJ Flue Size
Gravity
Mechanical X
Air Conditioning R u.ud ~ -l-oV\ 13SE6f-
Vent. System hwd-eA VAML,Odl-t
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Supply Openings
Return Openings
Input 1tJO{ (J 0 0 Output 5 ~ a.. 0 0
Edr.
Cfm.
CAlC- )
Alterations X
TYPE OF WORK
(.F)
Replacement X New Construction
Est. Comp. Date o,r; J;) ..., J 0 I
Repair
Est. Cost $ ~OOD - Building Permit #
HEATING PERMIT FEE $ 39 $1
STATE SURCHARGE $
TOTAL PERMIT FEES $ 40 -
.50
Receipt # 3 Cfb LIt
TYPE OF STRUCTURE
1. Pink File
2. Green City
3. Yellow Contractor
Single Family
Commercial
x
Multi-Family
Other
Two-Family
Industrial
Public
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
$39.50
~9.59J
$39.50
Remember to add the State Surcharge on the bottom of this application.
price of your heating permit includes one rough-in and one final inspection.
litional inspections will be billed at $35.00 each.
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... certificate of occupancy will be issued.
f:iEAT CALCULATIONS 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.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447.9850
Fax: (952) 447-4245
I 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.
(L -/Jn~
A{~ l'pplicant's Signature
. ~gnature
Building ~C;I'S Si
D5 JJ~/O I
Date
~- ~q-O/
Date
SCHEDULED L1~/k
//j~:3tj ((, dtletJ10A-JI
{
DATE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
m~4
OWNER
CONTR.
TIME
-1
PHONE NO.
PERMIT NO.
~,} ()I-~/fo - /~6-h
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
rECH FINAL
r~~lr /~(
~1-() .&4J-h-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/ /
[/( ()S(
,
rr~_
,
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT W~R~ALL FOR REINSPECTION BEFORE COVERING
Inspector: rfIY" L..(_ {G-U>owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADV~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAI
ll'iSIYOTl
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Job Aitdress ....... ... ... '
HeallngComactor~~
Name of Tester ~
~1f...1/)1
Date
Pen:ent 0 ~- ~
Percent C02 "0
Percent CO /..tL
Stack Temp.