HomeMy WebLinkAboutMechanical 99-0915
CITY OF PRIOR LAKE Me
16200 Eagle CreekAv. S.E. Permit No. qq....t?/S
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date .,., - \ q ~ fq "lC\ PID # 25'-057- 001-0
Site Address '~I ~Obtl~J.ft.-rC-(? <:.\~. Jf!/SO
Lot / Block Addition ~1't~/NSON IfSt..ANL)
Owner's Name ",)0\-\ ~ E c:'A N
Address \ 51 (... t Con C".. F-' ~7- R-- G. ~
Heating Contractor ~('O~"'t"\ A.\_ X~"'\l "-.1S- 'l A.~
Address I ~ \ 5 ~. U.l 'i:I~ ~\ ~ ~v ,",,\ ~ A.. fl PLS
Telephone # brZ...-7'2.~'- \8~cr 56407
A..c...
F~ Make & Model -r-€...nP5"V.4Z..
Model Size U 5S ~ c... " }(..\::>
Conn. Load
Fuel ~ t...<=.c.., Flue Size
Supply Openings
Retum Openings
Input ?>b,oO 0 Output
Edr.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning )(
Vent. System.
HEAnNG OR POWER PLANT
Steam
HotWat~r - \0/03/200\ 13, TO
Radiation SED UD
Special Devices.. CLO "'1"\T11''l
. n~^C t
Other Devices
Cfm.
TYPE OF WORK
Alterations
Replacement )(
Est. Comp. Date
Building Permit #
-~<1."5Q
.50
U t'.. . "0
.., \oJ Receipt #
..35P!>04-
New Construction
Repair
Est. Cost $
QQ-t?/S
,. .
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
TYPE OF STRUCTURE.
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family .
Commercial
)<
Two-Family
Multi-Family
Other
Industrial
Public
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 ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember 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 buildina oermit number before build-
ing certificate of occupancy will be issued.
,.-
\TIONS REQUIRED with number of supply and return openings listed per
~ per opening. New structures or additions send floor plan with supply
Ins shown. HEAT LOSS CALCULATIONS, PAYMENT AND
~AY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
PRIOR LAKE, MN 55372.
_~"I"'SS 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 ~k which requiJesAeview and approval of plans.
7 - ,q-ql
Date
7/Z8/QQ
, Date