HomeMy WebLinkAboutMechanical 99-1362
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
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TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT
Date 11- 16 -g Cj
Site Address } Y .3 0 J
Single Family
><
Two-Family
PID# 2-5- ~- C>Cf1-Q
Rob I' n +<ao.d ~ \t. Fee Schedule
\ \ 19
Lot I Block '3 Addition K N 013 H I LA...." 2. N.D, V Industrial, Commercial & Multi-Family
Ow r' N /'J n Residential, Heating & AC
ne same / ./ I . . ~ R'd' I H .
11 - -K' , III ' ~ f',. \ 1\ '>. eSI entia, eating Only
Address l,. ~ 0 l I ",OU I Y\. '" GO.\..:i . ~ Residential, Gas Fireplace
. I ( ~ 'l.,.... \ \ "l . 1\. . \1' \ n (""' Residential, Additions & Alterations
Heating Contractor '-...J - ~\.... ~ -r\\.-A.- ~ ,,-1- '-. ..
\ Ct 13 '"\ ~ ....-. ~ c ( )./ . Residential, AC Only
Address t - J \...J.... ) . c.,U )UA1\~v I ~ ","- 'T"" \11'l\..,
~94--l4-/1- .
Commercial
Industrial
Public
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50 , I
$39.50 . (' NOV I 11999
$39.50 \ \
$39.5Q' \11
l
'I
t!
III
V
Telephone #
Remember to add the State Surcharge on the bottom of this application.
Fuel
Flue Size
1-5
~
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
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 buildinq permit 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.
Furnace Make & Model
Model Size
Conn. Load
Supply Openings
Return Openings
Input
. Output
Edr.
Other Devices ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Cfm. ~ '. ~ ~Cl./r') 447-4230
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TYPE OFWOR~S~ I hereby apply for,a mechanical systems permit and I ack~owl~dge that the
information above IS complete and accurate; that the work WIll be In conformance
Alterations X Replacement New Construction U/YY)~ with the ordinances and codes of the city and with the state building/mechanical
. I 2. -31 -qq \ codes; that this form does not become a permit until signed by the BUILDING
Repair Est. Comp. Date OFFICIAL; that the work will be in accordance with the approved plan in the
<.'"") Cia ,-..... 0 B 'Id' P 'it # 00 - /':2 /'-2- case of all work which requires review and approval of plans.
Est. Cost $ ~' . V UI Ing erm 7 7 /~c.o "-
HEATING PERMIT FEE $30:1 . 50 -- """ ~Q~ I' - it - q 9
.50 .,Applicant'& Sign~ture . . Date
~ )," "A r' /1/l"lh1
4() OC)eceiPt# 30537 " ilg~~~-~e;~ Date
.. - . --
STATE SURCHARGE $
TOTAL PERMIT FEES $