HomeMy WebLinkAboutMechanical 99-0541
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Permit No.
CITY OF PRIOR LAKE
Multi-Family
Other
Two-Family
Single Family
Commercial "7--
16200 Eagle Creek Av. S.E.
Prior Lake, MN 55372
I PERMIT
Public
Industrial
HEATING APPLICATION
"'77
2.S -/77- 004--/
PID#I
Date
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential. AC Only
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B/2.00iCS'V((...l.E (J.772- 2/11P ItDDN
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Addition
2-
-
Block
Site Address
I
Lot
i/9 - 7SX'
.../ e/?.r?O Y TYPE OF SYSTEM
of- l/f~~ War~ Air Plants _
Gravity
Mechanical _
Air Conditioning _
Vent. System _
HEATING OR POWER PLANT
Address
Remember to add the State Surcharge on the bottom of this application.
final inspection.
heating permit includes one rough-in and one
inspections will be billed at $35.00 each.
your
The price of
Additional
Telephone #I
'1- Furnace Make & Model
Model Size
building wmnillll.l.lJlbm before build-
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
//a JCi
HEAT CAL< REQUIRED 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.
Steam
Hot Water
Radiation
Special Devices
:2 J'-r't It.
Conn. Load
/\/. r Flue Size
Supply Openings
Return Openings
Fuel
City Hal 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) -
business hours are 8 a.m.
Output
Input
Edr.
CALL CITY HALL
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 rk which requires review and approval of plans.
447-4230
Other Devices
New Construction
TYPE OF WORK
Comp. Date
Replacement
Est
Cfm.
Alterations
Repair
Dale
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7'2-
35/
Building Permit #I
.00
50
I 20.so Receipt #I
Cost $
HEATING PERMIT FEE $
STATE SURCHARGE
TOTAL PERMIT FEES
$
$
Est.