HomeMy WebLinkAboutMechanical Permit #01-0503
File
City
Contractor
1. Pink
2. Green
3. Yellow
Multi-Family
Other
PLEASE NOTE:
Air Conditioner Units Cannot
Encroach Into Required
Side Yard Set-Backs
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.
building J2fillDit ~ before build-
House Heating Test Record must be submitted with
ing certificate of occupancy wiii be issued.
Public
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
~ TYPE OF STR~CTURE
1/ - -- - -
Fee Schedule
Two-Family
Industrial
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Single Family
Commercial
MC
Permit No.
HEATING APPLICATION I PERMIT
C;L PID~~-O
CQ
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E.
Prior Lake, MN 55372
~
Owner's Name
Address
Lot
Heating
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
HEAT CAli LATIONS 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.
4vPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Conditioning
Vent. System
Address
Telephone #
Model Size
Conn. Load
Fuel J I J [7' t-Iue Size
Sup
Ret
Inp
CALL CITY HALL
City Hal 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL)
447-9850 447-4245
business hours are 8 a.m.
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
Other Devices
tput
(952)
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.
.
Fax:
(952)
Phone:
TYPE OF WORK
Building Permit #
2qr~D
Comp. Date
Replacement
Est.
Edr
Cfm.
Alterations
Cost $
Repair
Est.
3S-:
Receipt #
50
'-1:0 f () 0
HEATING PERMIT FEE $
$
TOTAL PERMIT FEES $
STATE SURCHARGE
ADDRESS
if/3/
DATE TIME
SCHEDULED S - 3/-o} L.ff!J
E~~ .)A-/
CITY OF PRIQR LAKE
INSPtWTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ -SIB
o FOOTING [J PLUMBING RI
o FOUNDATION [] MECH RI
o FRAMING [J WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:~ ~ ifn P ~
o EX/GRAD/FILLING
o COMPLAINT
....e""'FIREPLACE RI
o FIREPLACE FINAL r- J)
...a-G'ASLlNE AIR TST ,-- r
o
-..J WORK SATISFACTORY, PROCEED
r;; CORRECT ACTION AND PROCEED
o CORRECT WO , CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIRElt/ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ