HomeMy WebLinkAboutMechanical Permit 01-0361
Industrial, Commercial & Multi-Family
C f\f) l J ~O}l1 f't Residential, Heating & AC
.'{ h {J + R (J Residential, Heating Only
Address </~/ ? 5' ;J::;t.~ (5 f't! CJ-. Residential, Gas Fireplace
Heating Contractor ~'{' e:Si rL _ to V'Jt1 PV' )1//( ~~reszJ. ~ Res~dent~al, Additions & Alterations
!-/ II ~ , ( ,. Residential, AC Only
Address ~O ~,~!? r fUYsvd/€)J/!;v.
Telephone # Cf5 ~ - ,5?' C? 0 -- () '95?R Remember to add the State Surcharge on the bottom of this application.
Furnace Make & Model !lecf-W-r;J- AIR"CONDITIONER'UNITS CANNOT
J/J -r- r . "tI() ...J.. ENCROACH INTO SIDEYARD SETBACKS.
Model Size 't:J -~ II fJJ1 ~ 1Il1(J2i1S&/
- I TYPE OF SYSTEM
Conn. Load Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water .
Radiation
Special Devices
Other Devices
Lot
Block
Owner's Name
Fuel
.a$
Supply Openings
Return Openings
Input -2.r90~ Output
Edr.
Cfm.
lenn
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit
Prior Lake, MN 55372
1-0310 /
Addition
~
Flue Size
TYPE OF WORK
Alterations Replacement New Construction
,
Repair Est. Comp. Date . lb..a.y f{ 11/ J 0 (
Est. Cost $ A.(!) 0 C) - Building Permit # 0 1- 03to /
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt # 31 Sl) 7
1. Pink - File
2. Green - City
3. Yellow - Contractor
Single Family
Commercial
TYPE OF STRUCTURE
/ Two-Family Multi-Family
Industrial Public Other
Fee Schedule
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
PLEASE NOTE:
Air Conditioner Units Cannot
Encroach Into Required
Side Yard Set-Backs
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 permit number before build-
ing certificate of occupancy will be issued.
tfEAT 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 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 ~rk which requires review and approval of plans.
\ /J/l/~' ~flU1: J Atd!JOJ
Applrca~~ ~e)-
4-ZJg-OI
Date
DATE TIME
CITY OF PRIOR LAKE 59'-0/ /0'/ go
INSPECTION NOTICE SCHEDULED
ADDRESS /~/'iS ~~5h PI- ~d
OWNER CONTR.
PHONE NO. PERMIT NO. 3(,/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP It. -A-'~FIREPLACE RI
o SEWER HOOKUP ~ f\.....~FIREPLACE FINAL
o PLUMBING FINAL . - Pr ~GASLlNE AIR TST
o MECH FINAL 0
COMMENTS:
~- ---- --
~.
\ e-:0Fe
'-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, fALL FOR REINSPECTION BEFORE COVERING
Inspector: h~ tt_~1 Owner/Cont,:
CALL 447-9850 FOR TdE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl