HomeMy WebLinkAboutMechanical 99-0357
CITY OF PRIOR LAKE JOf>..... SOOC;!
16200 Eagle Creek Av. S E P' qq 35 7
Prior Lake, MN 55372" ermit No. - . ' -
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1. Orne"
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TYPE OF STRUCTUR E
File
Cily
ContraCIOt
Single Family
C<lmmercial -)('
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Two-Family
Industrial
Date
Fee Schedule
~ IndllS1rial, Comm&rcial & Muhi-Family
Residential, Heating & AC
Residential, Healing Only
Residenlial, Gas Fireplace
Residential. Additions & Alterations
Residential, AC Only
Address
Hfia1ing Contractor ~L13~12. \ SIIeEt"~R:-
Address;;-OO M PI-A-rfJ El.J/~.. 51: IAtJL. S-40 7
Telephone II 6.~/- ,;4).~S-~J%' -.
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Public
Multi-Family
Oll1er
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1% 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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Furnaoe Make &. Model
Remember to add Ihe State Surcharge on Ihe bottom 01 this application,
TYPE OF SYSTEM
Warm Air Plants
Gravity Additional inspections will be billed !It $35.00 each.
~echan~l. V&U ~,;: ~,.,e,J\ House Heating Test Record must be submll1ed with building RfillI!il ffilmber before build-
Air ConditlOnmg ,,"vr l;~. ~ \(XJ lJing certificate of occupancy will be issued,
Vent. System ~O/L~ / A'W -raP
/ J//tIJt:j HEAT QALQULATIONS BEQUIRED with number 01 supply and return openings risted per
HEAllNG OR POWER PLANT room wilh CFM's per opening. New struclures or additions send floor plan with supply
Steam and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
Radiation _ CREEK AVE. S.E'. PRIOR LAKE, MN 55372.
Special Devices City Hall business hours are 8 a.m. - 4:30 p.m.
Other Devices ,f6-INStlLJ11"'e' . iL WORK MUST BE INSPECTED (ROUGH-IN AND FJNAL) . CALL errv HALl.
-!?onP fF;fAj)fJe-rwou:.. t
. aN "LENI\l)X" UNrr 447-423i>,
TYPE OF WORK . ':/ l~rebY apply Jor a mechanical systems permit and J acknowledge Ihal the
'" ./ . I \L ,information above is complete and accurate; that the work wHl be in conformance
Replacement_ X New Construcllon I t wilh the ordinances and codes ot the city and with the slate 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 0' all work which requires review and approval of plans.
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."" -,. &JPIi r: SignakJre--!-.l... '
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- Building Offical's Si. nature
The price 01 your heating permit Includes one rough-in and one final inspeclion.
Model Srze
Conn. Load
Fuel
Supply Openings
Retum Openings
rnput
Edr.
Rue Size
Output
Cfm.
Alterations
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Repair Est Comp. Dale .
Est. Cas! $+ ~(OOO~ Building Permft f#
f!{th' pO
HEAllNG PERMIT FEE sfl}ftJO
qq- 35'7
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STATE SURCHARGE S .50
TOTAL PERMIT FEES $ iZ,() €fJ/
Receipt'
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. . 'Date
4114-/q0
. Date
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