HomeMy WebLinkAboutMechanical 00-0390
DATE TIME
CITY OF PRIOR L II.KE
INSPECTION NO~ICE
SCHEDULED
12/?;/tfp /1:30
ADDRESS
I sC} -;; 0
tJ44Jf-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6 - -:S'7e;
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULAJ;IC!N 0 SEWER HOOKUP
}(FINAleP 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: CJ f( r A? tM{\
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINA~,
:Ii GASLlNI;.AIR TSc..v
O~p,
+~,~
,
~ORK SATISF II.CTORY, PROCEED
o CORRECT AC' 'ION eTD PROCEED
o CORRECT ~K, U II FOR REINSPECTION BEFORE COVERING
Inspector: ~-) - ~ Owner/Contr:
CAll 447-9150 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQL fREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
"'"1.....-----
CITY OF PRIOR LAKE MC
16200 Eaglf CreeIl Av. S.E. Permn No.
Prior Lake, MN 55372 _-sf!;;'?;';'
_ HEATING APPLICATION I PERMIT'if~t -
Date 5/2~/Ot) PID# Z!~-O</J~-O
Sne Address I /SCi? t) / V 0, -f- ;t}lJ () .
l.Dt~ Block ~dnion ,<:;JJI./~SF-l 'a.ehl
"'"""'.... P. ,;- ho rr! -r!Jt1 ?ri;
Address _~q ?r} - /j )~s'f
Heating Contractor h''f\e (' /'J P. &Y)1 (2y J. ') /.' ~ rrr&s/)/~~
Address ~O (1), ~ / l":{ (kYfJ{'/J,'J/~1 m
Telephone# q.:;j- 1('::; /J..- c.:; ~ I '
Furnace Make & Model )/pn i -fV-/;/ 0. ~PE O.F SYSTEM
l'j ? C1J J:i 7 Warm Air Plants
Model Size ~.. - ~ J1s' ~~eGravity
Conn. Load Mechanical
~ 1 PlY: :t IIQ J1 r Air Condnioning
Fuel....p..t.JJ: Flue Size (JH" Vent. System
Supply Openings HEAllNG OR POWER PLANT
Steam
Return Openings Hot Waler
I a (I'i'J Radiation
nput _ 0 Output Special Devices
Edr.
Cfm.~r)
Other Devices
Atteralions
./
TYPE OF WORK
New Construction
::r..tJ / J s1^-
.J 0
Building Permn # tTb.Q 3q,
3'j'.s.-o . /
.50
~,d{) Receipt #
Replacement
Repair
Est. Comp. Dale
Est. Cost $ . p _
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
37t./7c/
TYPE OF STRUCTU.BE
I. PiDk
2. c;,...,
3. Yenow
Hie
City
Co.......,
Single Family _
Commercial
,./
Two-Family
Industrial
MuRi-Family
Public Other
Fee Schedule
Industrial, Commercial & MuRi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas FIreplace
Residential, Addnions & ARe rations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50 PLEASE NOTE:
$64.50 Air Conditioner Units Cannot
$39.50 Encroach Into Required Side-
$39.50 Yard Setbacks.
$39.50
R~member 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 buildinll JlmIlliIlllIIIlbm before build-
ing certfficate of occupancy will be issued.
I::IEAI CALCULATIONS flF/'l11l1'\fQ wnh number of supply and return openings listed per
room wnh 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.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
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 reqy.ire~ reviW' and approval of plans.
~~d
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