HomeMy WebLinkAboutMechanical Permit 00-0770
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permn No. f:) 0 -Of) '10
Prior Lake, MN 55372
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TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT
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SneAddress _ /1.9;}..'3 (!~""St.'lA1 er-
Lot ~ Block I Addnion lA..1l1d" fT\ Q l\ j. O~
Owner'll Name JI1AbL ~U
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Date
Address
Healing Contractor
Address
Telephone' 7~ ;;. -;.; ~iJ -::s. ~~
Furnace Make & Model .MA\e.~
Model Size ~ "7.,r.t'\ ~ ..
Conn. Load
Fuel U hr'iAJ Flue Size L\h '"
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Supply Openings
Return Openings
Input
Edr.
Output~.c.IOO "F.ty
Cfm.
TYPEOF...,,,,,dI
Warm Air Plants
~::nical - CLOSED DUE TO
Air Condnioning _ INACTIVITY 1/1/03
Vent. System _
HEATING OR pov._.. ~_...
Steam
Hot Water
Radiation
Special Devices
~herDe~s~~
,
A_erations
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TYPE OF WORK
New Construction
Building Perrnn . 00 - (')Q.2.0
'3 't1L
.50
..., b.a4 Receipt.:s~
Repair
Replacement
Est Comp. Date
Est. Cost $
"3otn "'\
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAl PERMIT FEES $
Single Family
Commercial
)<
Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
1 % of job cost ($39.50 minimum\
$99'!o~ ~ @ rn 00' ~ ~
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$39.! fi .2.8 ..
$39.!,?
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R~rtn add the State Surcharoe on the bottom o~::.:'" ..........,J;;0~li'Oll.
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addnions & Alterations
Residential, AC Only
"TI-_ __,_
,ating permit includes one rough-in and one final inspection.
1S will be billed at $35.00 each.
Record must be submitted with buildino permit nllmber before build-
upancy will be issued.
~ REQUIRED with number of supply and return openings listed per
roam wnh CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. 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
447-9850
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 of all work which requires review and approval of plans.
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( . ./ II - _Appfica~ature
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Date
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