HomeMy WebLinkAboutMechanical 00-0679
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHE;DUlED
6".00 3;~
ADDRESS
4- ~ 1 (as 1>/1 RTlG/ OGJ::;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~~1q
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP &J 0 FIREPLACE FINAL
o PLUMBING FINAL t:- GAS~"IR TST
o MECH FINAL /".,q / (' _
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COMMENTS: Ul//r-~~ ,,.J (3,,4,Q,Afje..
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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tWORK SATISFACTOIIY. PROCEED W )jk
o CORRECT ACTION A m PROCEED ~ M.. ~;> ~
o CORRECT WORK, C~ LL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FC >R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMJ :NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
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CITY OF PRIO.R LAKE MC
16200 Eagle Creek Av. S.E. Permit No. aD - ~ "1 q
Prior Lake, MN 55372 .
./ HEATING APPLICATION I PERMIT
Date_r-J!62'7/(JT:. PID# 25'-.3c"Z,-004--0
StteAddress 47&5 p/'J,K /K-/066 CJ . ;v'E:
Lot 4- Block I Addttion KNOe /7/ t..-t.- 4-llf
OWrlIl/'sName ..:TOliN WHAt...6V
, .
Address 47(P5 ,I'7;1'i-tC /~ L)G,6 (!;/.. ? t.-.
Heating Contractor 6e:t...~
Address
Telephone #
Furnace Make & Model
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
Model Size
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Glm.
TYPE OF WORK
Merations
Replacement
New Construction
Repair
Est. Comp. Date
Building Permtt #
3(1.50
(50-067 <1
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(J f J r t ~i L-'-
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
4().OO Receipl# "5 'X 07 J
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
v
Multi-Family
Other
Two-Family
Industrial
Public
,eISO
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.~h ~
$99'~\\~'J
$6~~ @ \;i 'J \:J .'
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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 submilled with !ll!i!lfu!g I2!ill!lll number before build-
ing certificate of occupancy will be issued.
HEAT r.AI r.llLATIONS REOUIRED 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
caS~eqUireS iew and approval of Plan~ ~.iL
/' / ~ Applicanfs Signa e t7 · pate
VI (h~ 'udn.kUA'~ ?</olaD
V Building Olficars ~alure - -- . Dale