HomeMy WebLinkAboutMechanical 00-0768
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
.
SCHEDULED
".(:1-ou +:Ui)
,
/C,?J5Io
PEJZe~llJb
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
- /fn 1/
,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PlU ~BING RI 0 EX/GRAD/FilliNG
o MEqH RI @ 0 COMPLAINT
o WAllER HOOKUP J )("FIREPLACE RI
o SEVI ER HOOKUP Yo - FIREPLACE FINAL
o PLU ABING FINAL 0 GASLlNE AIR TST
o MEC ~ FINAL 0
COM~ENTS(1) J-,.t t/I' 0.-'-"./ .z;, tJ-. pU~, ,
~~ ~ ,~ ~__J_
(.Ji') ~'0A: ~ C!,I. - - -:~ I2Al...'
-r:-..L..:' ~- ~ -- ,LlJv..
~..,~-~
P I
,.".'
o WORK SATISFACTORY. PROCEED
)( CORRECT ACTION AND PROCEED
o CORRECT WflRK. CAll FOR REIN' '''ECTION BEFORE COVERING
Inspector: 9J.. I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOJ ' YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permn No. .Q{l-CJ'1.-'8
Prior Lake, MN 55372
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
Gty
Conttactor
HEATING APPLICATION I PERMIT
Date ~.ft (j 0 PID # ds -. '3(J\ - O.;J.lI-Q Commercial Industrial .__ pu~c
SneAddress ;,. e Ih& t3ir Fee Schedule ~Mrn@r )@ ~\
'" L.... os- ...... I '" N TO W6Sr Rl ~ '"'-, "'""""'~ ,1..1",""" '" zrllI '3 ,,_ "'.M ~";m"ml
---r;- 11 II - L - i A .. PO N ~ Residential, Heating & .~ 'IlJb .( '1 $9
Owner's Name _.eel . .~ . Residential, Heating Onl'! $64 ~ PLEASE NOTE:
Address /01';5& JJpr~;~. &11'" . Residential,GasRrepla, . $39_50AirConditionerUnitsCannot
. j:/ " J.A ~ "/''1. ;o"'I"'";F""'~ . A Residential, Addnions & ~rations :ti39.50bncroach Into Required Side-
Heating Contractor (leS, fV . OY'JIl/JY'r ~$.- / I'li =l&ee, Residential,ACOnly $39.50Yard Setbacks.
Address ~S"() fJ).HwdI !<:&I'Mf'!/(IIe/HlJf!.
9."" A " f. .., "" /J /'. Remember to add the State Surchame nn th" hnttnm nf thi~ "pplieati..n
TAIArmnnAJ1 ., ".'..::: ,..,:.., .,t - ~\ -~ _ .~
Furnace Make & Model /-kq i-lV-htJ TYPE OF SYSTEM The price of your heating permit includes one rough-in and one finai inspection.
C'/?'-'" 11"'-' Warm Air Plants
Model Size.YI-- ::> DTJ2S r'Vt2~eGravity. Additional inspections will be billed at $35.00 each.
Conn. Load Mecham",:,1 . House Heating Test Record must be submitted wnh buildinn I!mIIli1 number before build-
II) if rO/ft! I{ ~ Air CondnlOmng ing certificate of occupancy will be issued.
Fuel Flue Size IJ,', Vent. System
I 't
Supply Openings HEAliNG OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Single Family
1/
Two-Family
Muni-Family
Other
Return Openings
Input100nO
Output
!::!.EAI CALCULATIONS REQUIRED wnh number of supply and return openings listed per
room with CFM's per opening. New structures or addnions send floor plan wnh 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.
Edr.
Cfm. I mil
City Hall business hours are 8 a.m. - 4:30 p.m.
Other Devices
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
TYPE OF WORK
Allerations Replacement New Construction
Repair Est. Comp. Date Sp p ~. Lii:..., }'6
Est. Cost $ ..d.tJa(') Building Perm" # 00 -07 C. I
HEATING PERMIT FEE $_ 39. sn
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ it 0 _ 00 Receipt # 3~;::;srJ
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 wark which requires review and approval of plans.
. ~~. bIZ'fiI . ~1..J/II/ ftJ
,ture"' 'T'fY; Date/c .
rh.Jr:v....~ ~ ~C{ C/l?
/ DaiJ