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
. .
/
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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.
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cLr~BUildie;;ic;/~tur~ ~
/ Date/
ej'2t)/Qr;
Da/eL- (
S33 INSPECTION
RECORDSUNUER
3U=---J~~G PERMIT
#99-0836
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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.
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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."
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Tht Ctnltr or lhl! Llkt Counlry
White - Building
Canary - Engineering
Pink - Planning
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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',
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DUL (fTH ,":-1 VE
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Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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Comments:
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"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."
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Thr Crnlrr of lhr L.kr Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION D~PARTMENT CliECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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,
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
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