HomeMy WebLinkAboutMechanical 99-0943
CITY OF PRIOR LAKE Me
16200 Eagle CreekAv. S.E. Permit No. 99- 1743
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date B-;3 ---C1C\ PID# z5-01./-2.- 0/1-0
Site Address \ ~ Sl.\ ~ i(e.o.. {)(AVls.. "\2.d Ie/SO
lot :2 7 Block
Owner's Name ~
Addition
V--,~~
Address ~JJ ~V<..-,
Heating Contractor ~ j01Wili9.- ~(' \ ~ .
~S \~>(J 8\. LlJ, ~~
4~~\~a) .
Address
Telephone #
Furnace Make & Model
Model Size
Conn. load
Fuel
Supply Openings
Return Openings
Input
Edr.
Cfm.
Alterations
Repair
TYPE OF SYSTEM
Warm Air Plants
Gravity Additional inspections will be billed at $35.00 each.
Mechanical House Heating Test Record must be submitted with buildinq oermit number before build-
Air Conditioning\"'\Y11\e ~ 'lng certificate of occupancy will be issued.
Vent. System f'2Jd:::::A.; .
. ~ tlfAI ,CALCULATIONS REQUIRED with number of supply and return openings listed per
HEAnNG OR POWER PLANT
\()1()31~()()\~'\.:5B "to ~nical systems permit and I acknowledge that the
St,D v .....dte and accurate; that the work will be in conformance
C,-,O .-('\'\1\:1"[ ~....~ and codes of the city and with the state building/mechanical
\~~C \. ...d( this form does not become a permit until signed by the BUILDING
...,r-FICIAL; that the work will be in accordance with the approved plan in the
'9t? - 943 case of ~work which reqUire~ and approval of plans.
~.'_.~...'-' ~
I ~'i'.. '
, .'(
'g?-~' ~
BuildingOffical's Signature
Flue Size
Output
Steam
Hot Water
Radiation .
Special Devices ~'(" ~\~
"\""\)J..,{\~ "' \.tV '2J::l
Other Devices
TYPE OF WORK
Replacement )(,.
New Construction
Est. Cost $
HEATING PERMIT FEE $
Est. Comp. Date
Building Permit #
~.'SO
.50
\.\.D · ex) Receipt #
STATE SURCHARGE $
TOTAL PERMIT FEES $
35B ? c;-
L Pijk_\}2~Co
TYPE OF STRUCTURE.
2, Green
3. Yellow
City
Contractor
Single Family
Commercial
)C
Two-Family
Industrial
Public
Multi-Family
Other
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.
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 h(\"- 1re 8 a.m. - 4:30 p.m.
ALL \JI-
~PECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
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Date
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. D"ate