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HomeMy WebLinkAboutMechanical 99-1017 HEATING APPLICATION I PERMIT Date '81l\\~ PID# Z!5- 90Z-074--Q J /~::>/ / 01./(..1./7'1 ~is: . ~ S~e Address P) L\j'y() .s~~ \ ' ~\\" ~ I ~z.. Lot Block Add~ion .M&"Tl5S "fIVO tSo U/JO'::;;; Owne(sName ~ N.\L\.l~~ '?~~~\ J:nv\\~\\.\1~ C"~0.001-$50,000 Address~ <\., ~ ~ V'~~ ~W_ Heating Contractor .C~~W> Me, Address. ~ \\... ~~\~~ W\i ~. -rOl-J ~(4\Q\\I", tJ\~ $50,001 and over ...J 55$44- Telephone# ~,- ~ Furnace Make & Mode~~~[\) ~ TYPE OF SYSTEM , Sn F'\A"\ I' Warm Air Plants L W 11.1 Model Size - 'l) ,""""" -.?J Gravity - Mechanical Conn. Load A' Co d" . 7 [" '\~ ~ " n rtlOnlng UN I \.J Fuel ,,~ Flue Size 1 ~ Vent. System Supply Openings \3 HEATING OR POWER PLANT Steam Retum Openings '2.. Hot Water ~- 1l"'v'\f'\Ir) Radiation Input U,- J....J. i::">Output \ N~ J Special Devices !Z::~ Cfm. k 11m ) ~ '2, 'S'\ C I . C:.fI.lI \~~~" CITY OF PRIOR LAKE ?;; 4629 DAKOTA STREET S.E. PRIOR LAKE, MN 55372 . . / , Permit No. QCf-lot7 Edr. I ~ HO\)\) Other Devices Atterations TYPE OF WORK Replacement New Construction ~ Repair Est. Comp. Date Est. Cost $ D _ <o"'S\) Building Perm~ # HEATING PERtfn- FEE $~~ J},.) STATE SURCHARGE L .50 TOTALPERMITFEES $ L~ ~ Receipt # 35863 ~;~~ ~ qf:j /0/7 11-~30 qq ~~3(P TYPE OF STRUCTURE 1. Pink File 2. Green City 3. Yellow Contractor Single Family Two-Family Industrial Mutti-Family _ Public X- Other Commercial JOB VALUATION FEE $0 - $1,000 2% of job value, min. $20.00 $1,001 - $10,000 $20.00 for the first $1,000 plus $1.25 for each additional $100.00 or fraction thereof to and including $10,000_ $132.50 for the first $10,000 plus $1.00 for each addi- tional $100.00 or fraction thereof, to and including $50,000. $532_50 for the first $50,000 plus $7.50 for each addi- tional $1,000 or fraction thereof. The price of your heating ,permit includes one rough-in and one final inspection. Add~ional inspections will be billed at $25.00 each. House Heating Test Record must be subm~ted w~h !2lJildina aermil nlJ~ before build- ing certificate of occupancy will be issued_ HEAT CAI CIII ATIONS REOlJlRED wrth number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan wrth sup- ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St. S.E. Prior Lake, MN. 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-4230. I hereby apply for mechanical systems perm~ and I acknowledge that the information above is complete and accurate; that the work will be in conformance w~h the ordi- nances and codes of the c~y and wrth the state building/mechanical codes; that this form does not become a perm~ until signed by the BUILDING OFFICIAL; that the'work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. _ I, '1!tJJ!::?/ cLr~BUildie;;ic;/~tur~ ~ / Date/ ej'2t)/Qr; Da/eL- ( S33 INSPECTION RECORDSUNUER 3U=---J~~G PERMIT #99-0836 - - 4."'- I I !l 0 ii: ~ ... '" --. ~O 2" ... ri ". _~-----"-~~-"-~-=-=---r _ ~~ qC;- / on Tht Crnln of Ihr L.kr Counlr)' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPART~NT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED C-6N77e19 I ee;, /1110. ~~7 /qq The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /63 I / DULUTH A-V6 Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." --~-_._---_.,-_._._".~...._~~~-_..~--+--""-,,- ..-....,..----'.--- ._....~_._---_....._--,._.~.._.~._.._-_. ... ',' .7'/' -, ~ C;C?-Ion Tht Ctnltr or lhl! Llkt Counlry White - Building Canary - Engineering Pink - Planning ~ BUILDING PERMIT APPUCATION DEPARTMENT dfECKLlSr NAME OF APPLICANT C E /1/77;: h I Ie::' E , / IV 0 . APPLICATION RECEIVED 9/- 7 /e; c; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: <t', /[3/1 DUL (fTH ,":-1 VE ~ Accepted Accepted With Corrections Denied Reviewed By: Date: ..... . " I Comments: .j' A ... '-\ "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ~i~",.W'.,~.." "<,,,,'4,""~" ""n::'?~~""""'"~~:-::"i~"7""'c:~>1:-' ~~~~..,."""t''''~~~~''.'''''''':'l':''''''':"'l;~-=';\~ ~h. .~ ~~~ .. ;;.....'{.,;;, ':"i"'lf'..X';';;'~'\'( '''-.''' <" ; " r " , ". Thr Crnlrr of lhr L.kr Counlry White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION D~PARTMENT CliECKLlST NAME OF APPLICANT APPLICATION RECEIVED , / G ," /' [ I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , /'" ~ / I , r ;;..... / -- ,,' I.. e .~ Accepted Accepted With Corrections Denied Reviewed By: Date: "I.,. , Comments: .\. "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." FROM : CENTRRIRE HTG & R/C PHONE NO. : 6129411967 Rug. 10 2000 08:27RM P2 HOUSE HEATING TEST RECORD(f)qj2,~:1.. ,.. ....~ IV, ">PIlf5S~.-=?11 L);,../UX'1. /fVl...~ /:-. 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