HomeMy WebLinkAboutMechanical 99-1308
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
I. Pink
2. Green
3. Yellow
~'
Clt?- /308
TYPE OF STRUCTURE
Contractor
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Single Family
Commercial
Two-Family
Industrial
HEATING APPLICATION 1 PERMIT
Date I/-.~- 9CJ PID# 25-01 (- 014-0
Site Address /-.<::: S9D tv j I,J, W ooJ. l!." r ~ ,~ ~
Lot 3 Block Z- Addition OA-/::...W()OO HtL-LS
Owner's Name ~t'!l r ~ 0 w r 1'\ 6 a t:! ~ I:
. ,~ -
Address JSS9C2..-"J;)~ wood! C; rc.Je S"~
Heating Contractor Pt'\f\~ La... Ke: J:I...:i--o.. ~ ~
'-I
Address /I'aS89 P~/~ 8,..ooK C 1-
Teleehone # -L..L) - ':1-..1./ 7 - ~ / D
f.J Jt1t~,\ c.1I1c...'; SMA ... .AONO
Furnace Make -a. Model _#lU t) )tl)x a tJ TYPE OF SYSTEM
Warm Air Plants
Model Size I C>D~ Doo Gravity
Mechanical
Air Conditioning )C :J YJ. To A./
Vent. System
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Public
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
C !~9.50~/ '.
$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 buildino. oermit number before build-
ing certificate of occupancy will be issued.
Conn. Load
A,~ II
Fuel ~f Flue Size .4
Supply Openings
HEATING OR Pi
Steam REQUEST FOR INSPECTION
Hot Water - SENT TO HOMEOWNER 1/03
Radi~tion. NO RESPONSE. CLOSE FILE'
SpeCial DeVices
. .- -- -,. -... 'TIONS REQUIREQ with number of supply and return openings listed per
per opening. New structures or additions send floor plan with supply
Ins shown. HEAT LOSS CALCULATIONS, PAYMENT AND
V1AY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
:. PRIOR LAKE, MN 55372.
Return Openings
Input A1O~~utput '??:>_" {)(X)
Edr.
Cfm.
s hours are 8 a.m. - 4:30 p.m.
Other Devices
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
cas.~ w;;:;:;;ew and approval of p;~ ? _ 7 ';
~ U~PPli~9)g~ Date
///3/qq
/ O'ate
Alterations
TYPE OF WORK
RePlacement)( New Construction
Repair
Est. Comp. Date
Building Permit #
q9 - /308
Est. Cost $ .
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
39.50
.50
40. OD Receipt #
3&:486