HomeMy WebLinkAboutMechanical 99-1159
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
Zl7/00 4-: uO
SCHEDULED
ADDRESS
5~ro5 SHot<6 It<.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q~- 1/39
o EXIG
o COMpRAD/FILLING
LAINT
o FIREPLACE RI
C 0 FIREPLAC
OMMENTS: ~ / ~GASLlNE~:I::i
. ~ -'" PhO/I9ee;
II ~
() ~ U
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
>
t)/[
r~
-
~
v
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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 & SAFETYl
INSJVOTl
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. q9 - / 157
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
9'- ~ 6 - 99 PID#Z5.otlO- 02..2-0
.5'~6? S- ~ ~ ..€ISQ
Z- Add~ion AI~n:f ..5"/ItJ,4f!g M~I
Date
S~e Address
Lot 9 Block
Owner's Name ~ ~
Address ~~ ~-- ~~ r/t.~'
Heating Contractor ..5 ~ ~ +"f It-. ~
I -
Address 1()~(10- /I/~ ~ ~_mum37
Telephone # ~ I }- ~ ~<tr- ,;L ~.r.3
Furnace Make & Model ~. ~ (,J.., JJ eJi
Model Size U)j fill {) 'E H-tt E.. t:...
Conn. Load
Fuel /J/..tJ.t..p.J Flue Size
Supply Openings
3"
Return Openings
Input
Edr.
Output
Cfm.
TYPE OF WORK
Alterations
Replacement. )(
Repair
TYPE OF SYSTEM
Warm Air Plants v
Gravity
Mechanical
Air Cond~ioning v
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
New Construction
Est. Comp. Date
cb
~ S- q 1 Building Perm~ # _
9 - do. ;;.. -- '1 9
qq--//59
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
39.s-6
.50
'7 [) Jj /) Receipt #
3&239
~'
1. Pink
2, Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE.
Single Family
Commercial
x
Multi-Family
Other
Two-Family
Industrial
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 BEQJ.lIRED 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
447-4230
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 work which requires review and approval of plans.
~J!..~
~. ~PPI~.J- s SjatiM .~o!~ .'
,J;/~../z\ , l-~ t;- " ,-
-"V,-" c". ~
Building Offical's Signature
9-AO - 99
Date .
9/z/ /~
t Date
qq -1(5{ .
".kJbAddr_rsl~ h-<~ ?'A~
"HeMing ConlrIlCtof S ~ thft-A' I ~~
"TesleralSignature Jrt.a-rlc i "fA-r'~
"Permit#
...,
"Gas tine
Pressurized
Inspected
"Percent CO2
"Percent 02
F in" Inspection
.,
Q!!!
Pounds
Pressure
Time
PERFORMANCE rEST
"f.~
<;~
"Percent CO 0
.Stack Temp. ~z..
Date
!
"