HomeMy WebLinkAboutMechanical Permit #01-1147
File.
City
Connlll:tccr
1. PiDk
2. GreeD
J. Ycl!ow
TYPE OF STRUCTURE
Muni~ Fami'y
Other
Two-Family
.x
Single Family
Commercial
Me
Perm it No.
PERMIT
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E.
Prior Lake, MN 5~72
HEATING APPLICATION I
10-10-01
Publrc
Industrial
PID#
Dale
1% of job cost ($39.50 minimum)
$99,50
$64.50
$39,50
~
$39.50'
-
$39.50
ndustrlal, Commercial & Multi-Family
Res1dential r Heati ng & AC
Res~dential, Heati ng Only
Residential, Gas Fi replace
Residential, Additions & Alterations
Residential, AC On Iy
Fee Schedule
Woodside Road
Addition
Robert Foran
Woodside Road
5671
_ Brock
Owner's Name
S ire Address
Lot
Inc
Air Services
&
21
Suite
of this appUcatron.
ffnal inspection.
Remem bar to add 1he State Surcharge on the bottom
The price of your heating permit includes one rough~jn and ane
Additional inspections wi II be billed at $35.00 each.
buHding wmm nu mber before build-
House Heating Test Record must be subm~tt&d with
r i e I1 ng certificate oj i)ccupancy w,ii be issued.
.!:::ffAI CALCU [l REQUIRED with number i)f supply and relurn openings listed per
room with CFM's per opening. New structures or additions send Ooor 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. PRJOR LAKE, MN 55372.
p.m.
(ROUGH-JN AND FINAL)
4:30
City Hal
ALL WORK MUST BE INSPECTED
business hours are 8 a.m.
HEAllNG OR POWER PLANT
Steam
Hot Water _
Ra~ialton _
Special Devices _
Aprilaire
Other Devices
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Condit iailing
Vent System
Heating Contractor Qu a 1 i t Y He a tin 9
Address 1 29 12 Ve n t u r a Cour t
Telephone' 952 - 403 - 1110
Carrier
Furnacs Make & Model 5 8MVPO 60
5671
Address
TtL
Model Size
Conn. Load
Fuel Na t
'"
e"
600
CALL CITY HALL
447.98-50
. hereby app~y tor a mechanfcaf systems permit and r acknowledge that the
informatfon above is complete and accurate; thai 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 BUILDI NG
OFFICIAL: 1hat the work win be in accordance with the approved pian in the
case of I work which re "res review and approva! of pJans.
."
/D-ol
Date
ItJ,//--O /
Date
.2
./.s ~J u
Flue Size
Re1urn Openi ngs
Inp~ ~ t'JtJt) OUlput
Edr.
/ZJ-
New Construction
S uppJy Openings
TYPE OF WORK
^
Est Comp. Date
00
Replacement
Glm.
A~erations
Repair
Building Permit ft
39.50
5600
Est. Cost $
Receipt #
.50
40.00
HEATING PERMJT FEE $
$
TOTAL PERMIT FEES $
STATE SURCHARGE
Qualih I h.'atiue & Air- Scn'iccs. Inc.
952 403-1110
AIJPLIANCE PERFORMANCE TEST
AnIlRf:SS ~?I /AJJs~ RSJ..
/! ~ _ fC-(-
T('st ('r r.::::t ~ f ~t 5
Ila'(' 10 -IZ- -0 (
Perct'nf 02 ItJ ~~
PPJ\1 CO J 3 f fJ fl{
Perrent C02 ~~_
Stacl{ Temp. /t>D I> r
1~1% #
.- .~~~~:;:":;:;:',,:;;;,:-:':;";~;..:'';;::::''-:,:':;::_~;''::;::,~=.=-:.-:::-'-::'-=,,~_:.~=::~:::~~:-:~,;'---::~~::,~,:=:,,:====~-===::::>=:~:=,,~'
DATE TIME
,cITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5~71
SCHEDULED /0 --16 - /
u)Q:Jd s/d1G '
/; IS-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I - / / Lf'1
o FOOTING @ 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULAT~O 0 SEWER HOOKUP
FINAL " PLUMBING FINAL
4 SITE INS ECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
i(lI~
.,~:,~
~~O
;)7.-
I -
~*- 1fr,..c!.U: <. tell
1Jl WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO K, 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 & SAFETY!
INSNOTI