HomeMy WebLinkAboutMechanical Permit 99-0646
HEATING APPLICATION I PERMIT
Date 5-~ ~.-qq PID # 2"t5-0n - 0 IS - 0
Site Address L.\~ Fir \ (l C\r-~ ~.
Lot /5 Block / Addition PI/ZIOI2. So UT1't
Owner's Name ~ M \ . ~ ~7 ~
Address 4~~< &-\C"'\ u{"d.c C:;.6
Heating Contractor B~ \3 \ \ \..... Wet. ~~ \. ~ ( _
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Address \~L\g\ ~O(tL ~~\.cN ~<: ~tLYA.~L
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Telephone # .J . (l I ~- ~ L\ --aoo \'
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Furnace Make & Model fSMCl.(\+, TYPE OF SYSTEM
-:S~ ~ A-V cg", b70 Warm Air Plants
Model Size J OJ ~CP Gravity
Mechanical
Air Conditioning
Vent. System
Conn. Load
Fuel <''It\lX-6\
Supply Openings
Return Openings
Input70.0f})
I
Edr.
Clm.
Allerations
Repair
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
t. !'ink
2.0r..,n
J. Yellow
file
City
Conlractor
t??-~I/b
TYPE OF STRUCTURE
1'-\'173,
'"
.
Single Family
Commercial
Two-Family
Industrial
Multi-Family
Other
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom 01 this application.
Flue Size
The price 01 your heating permit includes one rough-in and one linal inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinq permit Dumber belore build-
ing certificate 01 occupancy will be issued.
HEAT CALCULATIONS HEQUIRED 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 AVF ~ F PRlon lAKE, MN 55372.
I B a.m. - 4:30 p.m.
outPut~
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
CLOSED DUE TO
INACTIVITY 8/30/01
:)ECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447.4230
Other Devices
TYPE OF WORK
Replacement ~
New Construction
, ..". ouy apI"Y 'VI" lIrtl\;hanical systems permit and I acknowledge that the
inlormation above is complete and accurate; that the work will be In conlormance
with the ordinances and codes 01 the city and with the state building/mechanical
codes; that this lorm 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 requires review and approval of plans.
Est. Compo Date
q~;~c.f~
Est. Cost $ Building Permit"
HEAliNG PERMIT FEE $ kLt -$ ()
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $10 s-:_o ()
Receipt # ~ S3 "3
~:#ft.~
S' - ';). ,)'J[9
Date
Sk7/QQ
, D"le -
Building Olfical's Signature