HomeMy WebLinkAboutMech Permit 00-0927
DATE TIME
CITY OF PRIOR LAKE jdJ'3()/inJ IL:o(J
INSPECTION NOTICE SC~DUl~D
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ADDRESS /1/&; / H/D()E:fJ. Ji6~ ~,
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OWNER CONTR. A~
PHONE NO. PERMIT NO. C) - 9,;2-,
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o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP )!: FIREPLACE RI
o INSULATION o SEWER HOOKUP s: FIREPLACE FINAL
P(I"II~'~.t:.. o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
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o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ , Owner/Contr:
CALL 447-9~50 tOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIO~ LAKE Me
16200 Eagle.Creek Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
f()-/6-6)() PID#~-2cq 1- OID-Q
/#6'/ tk~/~Al fJtEw eel. IV.E.
Lot Z Block Z- Addition ---H:.1DDE N \J f. E.. vJ
6J~cr€k- !11.ecA-
iZ2q::r-~ A<J~
12\~ ~lQA~, ~
ake & Model /lllrJech6
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Model Size () II ~~. (J
Conn. Load "3 ~ 00 c}
IV 0),. Flue Size r; If
Owner's Name
Address
Fuel
Supply Openings
Return Openings
Input.
Edr.
Output.
Cfm.
..so <
AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEVARD SETBACKS.
TYPE OF SYSTEM 0
Warm Air Plants -0 \
Gravity \
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
TYPE OF WORK
. New Construction
Alterations
Replacement
. Est. Comp. Date
Repair
Est. Cost $ Building Permit #
HEATING PERMIT FEE $ 3Cf. 5'0
oo.oqz,/
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STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
4-0.00 Receipt #
38G.t)~
1
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family .
Commercial
Two-Family
Industrial
Multi-Family
Other.
Public
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 buildina 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
...... O;;Zj~~;;;;;;' and approval of Plan~O _/ G ~cH1
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Date
BUil? Offical's Signature