HomeMy WebLinkAboutMechanical Permit 01-0369
~~x PRIO~ . CITY OF PRIOR LAKE Me
~- ~ \..~ f;;. 16200 Eagle Creek Av. S.E. Permit No.Ol,
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date~ ~3rr~J11 PID#c;!S- /3/-"/?-6
SReAddress a.ro7lf SO~~ Fee Schedule
Lot, 33 Block, ' Addition ' . ..... './" Industrial, Commercial & Multi-Family
Owner's Name S tcLn 5611. LV r1 (' '2- Res~dent~al, Heat~ng & AC
- ~ H f/ ;[)~ Residential, Heating Only
Address _,~(/; '2..!1 ' 11. !J t.~tJ# f!:-- _ Residential, Gas Fireplace
. ~ ~ OJ ~ ~ ~ '^ er' J /11/ 'LJ ('\/1 LJ ~ {' /1 Residential, Additions & Alterations
Heating Contractor V"i I P... I ( f'"' L1J' t:l U'" L-J "I J c--> tJ! ~ R 'd t' I AC 0 I
JJ -, est en la , n y
Address 3g-.?7) (tI,lru..J /5 lJaY'YfJ"/IilLe;JJ!g.5'ES?
Telephone # tl51. - J"'qrJ,..... O?C~ Remember to add the State Surcharge on the bottom of this application.
Furnace Make & ~odel }JO~ i'" fie n ~ AiR CONDITIONER' UNITS CANNOT
O J)~~ ~ ENCROACH INTO SIDEYARD SETBACKS.
Model Size A L
1. Pink File
2. Green City
3. Yellow Contractor
TYPE OF STRUCTURE
Single Family
V Two-Family.
Multi-Family
Commercial
Industrial.
Public
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
The price of your heating permit includes one rough-in and one final inspection.
TYPE OF SYSTEM
Additional inspections will be billed at $35.00 each.
Cfm.
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
House Heating Test Record must be submitted 'Nith buildinq oermtt number before bui!d-
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.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Conn. Load
Fuel --1Jl..L; Flue Size
Supply Openings
\Narm Air Plants
Return Openings
Input Output
Edr.
Phone: (952) 447-9850
Fax: (952) 447-4245
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 a{;thiCh :equ{j~x;;)L:val of i~;( d3~ / r
v AP~~?yLlre'. -. crate ~
m~~ L(-~-oJ
Building~ffical's Signature Date i
Alterations Replacement New Construction
Repair Est. Comp. Date iM Ii\ \ ^ r; ib-- '(Qj
~ - ./
Est. Cost $ -2J)() rJ - Building Permit # .
HEATING PERMIT FEE $ 39 # 5" 0
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
LID ,a) Receipt # 3Q,S)4
OWNER
DATE TIME
SCHEDULED 5- ;8'- 01 /0: co
~~~, &J~ ad
, 0
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~&,?~ ,-
PHONE NO.
PERMIT NO.
/- 3(;;,1
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
K'"FIREPLACE RI
j;( FIREPLACE FINAL _ P
~ GASLlNE AIR TST I-
o
COMMENTS:
~- h
"/~ / () r/ "\
;'/o$e- +t1fJ 1
- ~-/
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~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. \}~~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI