HomeMy WebLinkAboutMechanical Permit 01-0030
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 0/- 0030
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date J...IC)'-t..J/ PID#-25-304-- 007-D-
Site Address 'il& 11 ~L..L .'7J A I tY:-: ~
Lot
Block
Addition
Owner's Name, m l \(. r:
5--;"'" A pt--f
Address f-/ / :?'I ;iA~r'6~fi./Lf ~/LJ6"e
Heating Contractor ;::I;f 12 We?/f~' .e/ ~~i'i:e
Address J.5:3 170(1 ~JN
Telephone #
m ItSt?71(:""
Furnace Make & Model h \Jf<T 3~
Model Size
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input , Output
Edr.
Cfm.
TAJ~~JJ
<AJ!~ >>?N
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity.
Mechanical
Air Conditioning
Vent. System _
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Alterations
Replacement
TYPE OF WORK
New Construction
Repair
, Est. Comp. Date
Est. Cost $ .':2 .()() [)
0/-0030
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit #
31. 50
.50
4-0~OO
Receipt #
3~~~ 7
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
- File
- City
Contractor
Single Family
Commercial
Two-Family
Industrial
Multi-Family
Public Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
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 puildinq permit number before build-
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
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 1 ;:r.k which requires review and approval of plans.
>df:;--~ f..,LJ,j /-/9- C> I
APtJi6ant~~.,A.. Date
/-/1, ~ I
Date
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEr -JLED 1:.:21 -() ~ 3. ~ () 0
ADDRESS L.-{Z4- ~~ /l.I[)4~ Jt.L)
f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Of - 30
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
D EX/GRAD/FILLING
D COMPLAINT
~FIREPLACE RI
FIREPLACE FINAL
o GASLlNE AIR TST
D
,..~*''''''''~'-''''"..'"
(((~
"'"", .,. .'--"'-'..-,-. . .
I~_.III I
COMMENTS:
I
I) IJv1 (J~
j
~WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WOR~LL FOR REINSPECTION BEFORE COVERING
Inspector: ,t1'/rJ Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
GITY alii IIKIOK LAKI!
INSPECTION NOTICE
SCHEDULED
DA TE TIME
I) '1' 10 I ~ " O"a
, I
ADDRESS
4/,;) '--I
RA-sfJt5t:/ULy R,J)G,€ teil.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O/-6tJ30
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI ((i) 0 COMPLAINT
o WATER HOOKUP FIREPLACE RI
o SEWER HOOKUP ~ FIREPLACE FINAL
o PLUMBING FINAL \~ Ii! GASLlNE AIR TST
o MECH FINAL I\LJ to....
COMMENTS:
~I~ .
~ -F ~,. /1' {)
~~ .~ /J-c. ~?-~ 4 .
@ j)' () ~ ..,. , /J
c-? t:}-~ (.A\-C1 ,,,",~ ~~.
V {)
z~~
'0 WORK SATISFACTORY, PROCEED
;xl CORRECT ACTION AND PROCEED
o CORRECT W~, CALL 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 & SAFETYI
INSNOTI