HomeMy WebLinkAboutMechanical Permit #01-0515
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
-f;PLUMBING FINAL
g MECH FINAL
~/l~
, I.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3tf72-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU~ TION
o FINAL
o SITE INSPECTION
COMMENTS:
nME~
!-;?CJ-oj ~;3D -
(LJ~~
DATE
SCHEDULED
CONTR.
PERMIT NO.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-/Uo~T
/
- .
p~d I?~ tOAd
1.J~:etl ~<.li\ ~~rb
/
~ORK SATISFACTORY, PROCEE
o CORRECT ACTION AND PROCEE
o CORRECT WO~ CALL FOR REI
Inspector. ~ ~
CALL 447-9850 FOR T".E NE)
CODE REQUIREMENTS ARE}
~.."../r
....... /'
~'~ ..../
Job Address
Heating Contractorlu,$~ j{~// ~
Name of Tester ~
Date ...s ~ _~ -(!) /'
Percent 0 ~ 9
Percent CO2 ~;"s-
Percent CO 0
Stack Temp. ~ ~
~~
~~~
.~
CITY OF PRIOR LAKE Me '-<Fr';
16200 Eagle Creek Av. S.E. Permit NO.~
Prior Lake, MN 55372 ..../'t '
HEATING APPLICATION / PERMIT
Date 5-Z:~-O\ PID# :J'S~/()1- (JOL{-O
Site Address.3HJ3 W \ \ } 0 w '~h "fr.
Lot Block 0 Addition Q LS =fj::-3~
Owner'sName.J/aQ Lj~lv1
Address 3!D ~ WiJJJ;W 8fArrh TY.
Heating Contractor Wohlers SDUfflSJd8 ff-IcI.
Address YB5i> W. I!:IJfJtb Sf.,~ik mp v
Telephone # , II 3>/-70&fOJ
Carrier .
Furnace Make & Model s<il'U HV D81L- AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
Model Size 80Jcoc
Conn. Load
Fuel nafulZtLFlue Size
Supply Openings
TYPE OF SYSTEM
Warm Air Plants
Gravity "
Mechanical V
Air Conditioning -t<tl Lld '1...1D.n
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Return Openings
Input ~ Output ~~
Edr.
Cfm.
Alterations
Repair,
Est. Cost $ .
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
TYPE OF WORK
Replacement X New Construction
Est. Comp. Date 3 - 2? -0 l
Building Permit #
3q. SO
.50
4.0,-
Receipt # a q~ qg"
TYPE OF STRUCTURE.
I. Pink File
2. Green City
3. Yellow - Contractor
Single Family .
Commercial.
x
Two-Family
Industrial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Public
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
( $39.50-'
$39.50
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.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with building oermit number before build-
ing certificate of occupancy will be issued.
t1EAT 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.
Phone: (952) 447-9850
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Fax: (952) 447-4245
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.
~dj{~ JJ~
Applicant's Signature
Ck.---
Building Offical'g. Sig~re
5-23-DI
Date
~-d-Cj-o /
Dale