HomeMy WebLinkAboutMechanical Permit 01-0224
Date
Site Address
Lot
Owner's Name
Address
Conn. Load
Fuel rv c;
Supply Openings
Return Openings
Input :l9 (J (J ()
Edr.
Cfm, /;'0
Alterations
Repair
Est. Cost $ ~OO
\
or PID# 25 -/72-
&. \3(;1 vn Sf ..S w_
Industrial Public
TYPE OF STRUCTURE
1. Pink File
2. Green City
3. Yellow - Contractor
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
t/
Multi-Family
Other
Single Family
Commercial
Two-Family
Fee Schedule
Block
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
3'1. If {::.f (?"K'
Flue Size '/-Y liD 1A7.
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VVarm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Fax: (952) 447-4245
House Heating Test Record must be submitted with buiidinq oermit number before buiid-
ing certificate of occupancy will be issued.
HEAT 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.
Output
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
TYPE OF WORK
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 ?J:~:;;;r~;Z~d approval of P;:v-J ~~/
,~ A~ - , J.;;~~l/
BUil~ Offical's Signature Date
Replacement New Constructi~
Est. Comp. Date A(J JIl J \ ( ~ ~/SL ) \ 0 I
/1
Building Permit # 01- Oz:,z.4--
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
393/7
,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
A-.3.()J
3:.00
ADDRESS
34/3 1!ALS~1'1 ~ / .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- OZ'24-
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
o EX/GRAD/FILLING
o COMPLAINT
')!{.. FIREPLACE RI AT.
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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>>.ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector: J-.....~. ( Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI