HomeMy WebLinkAboutMechanical 99-510
Dale
S~e Address
Lol
/
Owner's Name
Address
Healing Conlraclor
Address
Telephone II
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permil No.
Prior lake, MN 55372
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TYPE OF STRUCTURE
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Single Family
Two.Family
Induslrial
HEATING APPLICATION I PERMIT
!\/~ /qq PID # 3-5-/33- OqO-O
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-:30/.9 h ~ rjJJ ~/5D
Block 5 I Addilion f!pR. / IV (E; LA K..6 77J W /I/.
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Commercial
Fee Schedule
AIf'I8d Fireside
aDa ~lreslCl8 ComIr
license "20080111
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Roseville, MN 55113
.=:; :.": J3-2S81
Induslrial. Commercial & Mulli-Family
Residential, Healing & AC
Residenlial, Heating Only
Residenlial, Gas Fireplace
Residenlial, Addilions & AUeralions
Residential, AC Only
P uLJlic
Mulli.Family
Olher
1 % 01 job cosl ($39.50 minimum)
$99.50
$64.50
. $39.50
$39.50
$39.50
Furnace Make & Model~ N
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Remember 10 add Ihe Slale Surcharge on Ihe bollom ollhis applicalion.
Model Size
Conn. load
Fu~l-.0cw
Supply Openings
Relurn Openings
Inpul
Edr.
elm.
Aheraliens
Repair
Esl. Cost $ ---1..1.fX). U)
HEATING PERMIT fEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Flue Size
TYPE OF SYSTEM
Warm Air Planls .
Gravity
Mechanical
Air Condilioning .
Vent. System
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The price 01 your heating permit includes one rough-in and one linal inspection.
Additional inspections will be billed at $35.00 each_
House Healing Tesl Record must be sulJmiUed wilh puildinl~ llrunlllll.!l!lt2.c1 belo.e build.
ing cerlilicale 01 occupancy will be issued.
CLOSED DUE TO
INACTIVITY 8/30/01
J-iEAT CAlCllLATIOt:!S BJ;QUIREQ wilh number 01 supply and relum openings lisled pI
- _.:.1_ "~U'~ nor n'1ening. New slruclures or additions send IIoor plan Wilh supply
'Wn. HEAT LOSS CALCULATIONS, PAYMENT AND
E MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
IR LAKE. MN 55372.
HEA TlNG OR POWE"
Slearn
Hol Waler
Radialion
Special Devices _
OutpUI dJ.()(J)
; are a a.m. . 4:30 p.m.
Olher Devices
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IN
IN
AL.L. "v.... mu u. - - INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
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I hereby apply lor a mechanical syslems permil and I acknowledge Ihalthe 00
inlormalion above is complele and accurate; Ihallhe work will be in conformance ,J:l
willi Ihe ordinances and codes or the city and with Ihe slale building/mechanical
codes; Ihal Ihis lorm does nol become a permit until signed by the BUILDING
OFFICIAL; thai the work will be in accordance wilh Ihe approved plan in the
case 01 all work which requires review and approval 01 plans.
TYPE OF WORK
Replacemenl
New Conslruclion
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Building Perm~ # qq - 5/ ()
Est Camp. Dale
39.50
.50
40.00
Receipt II
35'/52-
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8uihling OUicars Signaluro
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