HomeMy WebLinkAboutMechanical 99-1257
HEATING APPLICATION 1 PERMIT
Date /O//6/QQ PID# 25-0//.- 0/4 - ()
Site Address /6690 J1j/(--O wQQO e../ ;ecc...,t5 .liE/SO Fee Schedule
Lot 3 Block 2. Addition O/9K YolO f)D #1 c....t.-S Industrial, Commercial & Multi-Family
~ U~ ~c..O. /L Residential, Heating & AC
OWner's Name '- ~ - R 'd t' I H . 0 I
-. I - eSI en la , eating n y
Address ~.- . . Residential, Gas Fireplace
. j<h.- L~ A//!}, .J:..-:;.Jl ,,)~. ./ - 'es~dent~al, Additions & Alterations
Heating Contractor .' ~ -~ i y. ~esldentlal, AC Only
Address
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. q~.../Z57
Prior Lake, MN 55372
Telephone # blZ-- 44 7 - ~ L 1 0
~.t:ee Make & Model /fPA- ~/~~PE OF SYSTEM
..i~ t h'-'~ ~~ Warm Air Plants
Model Size ~..::> -~ Gravity
Mechanical
Air Conditioning
Vent. System
Conn. Load
Fuel h ~Flue Size
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File /'
City V
Contractor
Single Family
Two-Family
. Multi-Family
Commercial
Industrial
Public
Other
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.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinQ oermit number before build-
ing certificate of occupancy will be issued.
HEATING I
Steam - REQUEST FOR INSPECTION
Hot Water SENT TO HOMEOWNER 1/03.
Radiation NO RESPONSE. CLOSE FILE
Special DE
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
FM's per opening. New structures or additions send floor plan with supply
ocations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
JNS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
E. S.E. PRIOR LAKE, MN 55372.
Supply Openings
Return Openings
Input
Edr.
Output
Other Devices
Cfm.
TYPE OF WORK
Alterations
. Replacement
New Construction
Repair
. Est. Comp. Date
Building Permit #
qC;-/2s7
, /
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.3 C;. 6'0
.50
IftJ.OO Receipt #
,3(;;. ~3B
Isiness 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
case otallJwork whlct>.requlll's review ljI/d approval of PI:f9/J8ft j
( Date
/();/a/tJ'q
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