HomeMy WebLinkAboutMechanical 00-1012
DATE TIME
CITY OF PRIC R LAKE
INSPECTION ~OTICE
SCHEDUt.ED
IZrS.OO
1:':5
ADDRESS
4075 IN Il.AIJWVVOOO
..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
12-
o FOOTING
o FRAMING
o INSULATIO~,
e- FINAL \(JJ
o FOUNDATION I
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
C/GRADfFILLING
LKSHORElWETLAND
COMPLAINT
.s.-SEPTIC FINAL
";;' FIREPLACE iC.r)
A,
COMMENTS:
/
"WORK SATISFj ,CTORY, PROCEED
o CORRECT ACT ON AND PROCEED
o CORREC~." ,C\L\FOR REINSPECTION BEFORE COVERIN,G
Inspector:.:i) ~('~ OwnerlContr: .
CALL 447-4230 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.
I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
..--T
CITY OF PRIOR LAKE MC
16200 Eagle Cre/ek Av. S.E. Perm" No.
Prior U.ke, MN 55372
Date
sne Address
Lot _ Block . Addnion
Ownefs Name ~ ct.(I/1
Address 9:2...7.. Co) WI 0 t,.ff fA} (J,
Heating Contractor ()jJ) I'd...:::t" It I&{ .
Address!t/;f;iJ. I~J\I /3, Jit.Jhnsvi/r inN ><:::331
_.. .., AI..., erA..., _ ~,_,,- r/
l'I:I'IV",IIUII'I:I'tr 't'1.L- '" If J l J I ~ ^
Furnace Make & Model 1to7j tk 0.-:1- AIR CONDmONER UNITS CANNOT
~ . ENCROACH INTO SIDEYARD SETBACKS.
Model Size p. N:A--
}
Conn. Load
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Fuel A~
Supply Op~ingS
LI"
/
Flue Size
Return Openings
Input !J-8t mutput
Edr.
Cfm.
TYPE OF WORK
Aheraticns
'--,C
New Construction
_ Replacement
Repair
Est. Comp. Date
Building Permn # .
~q 00
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
_ .50
ifo.rr) Receipt #
.s~,,~ (0
TYPE OF STRUCTURE
I. Pink
2. Greon
3. Yellow
File
City
Contractor
Single Family
Commercial
x
Muhi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi.Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Rreplace
Residential, Add"ions & Alterations
Residential, AC Only
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
RAmemhRr to ::anrl .hl=! ~t::ltA ~11r/'~h~rge on the bottom of this applisatior..
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 buildin". ~ !!l!!!!l1m before build-
ing certificate of occupancy will be issued.
!:!.EAI ~LATI()NS REOI JlRED w"h number of supply and return openings listed per
room with CFM's per opening. New structures or addnions 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.
C"y 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
FIX: (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
ase ~)al~~~~~i7al of Plans._ ~
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Date