HomeMy WebLinkAboutMechanical #99-260
.Permit#
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METRO AIR
.Heating Contractor
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.Percent CO2
. Percent O2
Final Inspection
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq - z.~
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
4 -( ...eM I PID # ;); -D(dJ ~ or (0-0
Site Address ')3;6 fTc')st- PCir VLt" Cl-, I~LSb
Addition, M.€ef.s 1111_ (.IJ(CJCU'ld S
Owner's Name fJ~L &UJ,4, ~
c -
~"30S-- F/U)<; ~ ~t?/ftJ T
Heating Contractor /Y) rrJ1::./2-0 fi) I r<?-
Address P A.IC? /f!... ~ #~
Date
Lot
Block
Address
~ ) t'2..
Telephone #
Furnace Make & Model / /i ~ fill Je 1'-2-
Model Size SR- ,.,.1If) ~Ro -It{
Sl;J1"'IVP/~~ - "'-0
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Conn. Load
Fuel (/ ~ Flue Size
Supply Openings
Return Openings
Input
Edr.
Cfm.
Output
Other Devices
Alterations
TYPE OF WORK
. Replacement / New Construction
. Est. Comp. Date
Repair
Est. Cost $
qq - 2ldJ
FP 6Cl_~
~
I (;C, ,cD Receipt # _ :s Lf ~ L{q
( ~() .CO
Building Permit #
qq <'5'0
.50
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
/
Multi-Family .
Other
Two-Family
Industrial,
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC V-
Residential, Heating Only
Residential, Gas Fireplace ~
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.5Q
$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.
HEAT CALCULATIONS 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.
City Hall business 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
cese ~ ~~~d approval ot plans_ -L? C;
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