HomeMy WebLinkAboutMechanical 99-175
HEATING APPLICATION I PERMIT
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Owner's Name
Address
Heating Contraclor
Address
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 99-175""'
Prior Lake, MN 55372
Allied FintsidG
dba Fireside Comer
lic9nse #,MQOQ11
2700 N. Fairview Ave.
RosBville. MN S5113
651/633-2561
Telephone II
Furnace Make & MOdel~ t ~ tP&,
Model Size SL 75o'W
Conn. Load
F~~I ~\
Supply Openings
Relurn Openings
Inpul
Edr.
Clm.
Allerations
Flue Size
Oulpul d3.criJ
MAR 1598
rile
Ci'y
Contractor V
I. rink
1. (;rttn
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TYPE OF STRUCTURE_
Single Family
Two.Family
Industrial
Multi-Family
Olher
Commercial
Public
Fee Schedule
InduSlrial, Commercial & Multi.Family
Residenlial, Heating & AC
Residenlial, Heating Only
Residential, Gas Fireplace
Residenlial, Addilions & Alleralions
Residenlial. AC Only
1"10 01 job cosl ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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Remember 10 add Ihe Slale Surcharge on Ihe bottom ollhis application.
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Conditioning
Vent. System
The price 01 your healing permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Healing Test Record must be submilled with ~lIildiruz QllliIlil f'lumb.QI belole build-
ing certificate 01 occupancy will be issued.
J:!.m CALCULATIONS B-E;;,OUIREQ with number 01 supply and relurn openings lisled pe
r opening. New struclures or additions send 1I00r plan willi supply
shown. HEAT LOSS CALCULATIONS. PAYMENT AND
Y BE MAILED TO THE CIl'( OF PRIOR LAKE, 16200 EAGLE
RIOR LAKE, MN 55372.
HEATING OR PC"'---'
Steam
Hot Water
Radialion
Special Devices.
REQUEST FOR INSPECTION
SENT TO CONTRACTOR. NO
RESPONSE - CLOSE FILE
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)urs are 8 a.m. - 4:30 p.m.
Olher Devices
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
Replacement
TYPE OF WOnK
x
I hereby apply lor a mechanical systems permit and I acknowledge thaI the
information above is complete and accurale; Ihal the wOlk will be in conlormance
wilh Ihe ordinances and codes 01 the city and wilh Ihe slale building/mochanical
codes; Ihallhis lorm does nol become a permit unlil signed by Ihe BUILDING
OFFICIAL; lhat Ihe work will be in accordance with the approved plan in the
case 01 all work which requires review and approval 01 plans.
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APPfim:;,ture
Building tllical's ~9naluro
....
Est. Compo Dale
Repair
Es I. Cost $ --1.JI'D. tl)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit /I
:3 <7 - :;-()
.50
L{CJ .~
New Construction
3!16/q9
'1q-l7':)
Receiplll
347/,
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