HomeMy WebLinkAboutMechanical Permit 00-0516
"
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permn No.
Prior Lake. MN 55372
HEATING APPUCATlON I PERMIT
'il
Date 1D.:Jo.Df) PID' J;l5'- \'7~- C~
Sne Address 3413 BALSAM ST
Lot ~ Block "3 Addnion. Sc ~ \-t\ \b. AeXU 1\Cfn
Owne(s Name JACKIE McCOURTIE 226-3860
Address 3413 BALSAM ST
Healing Contractor RON'S MEDJANICAL. INC.
Address 12010 OLD BRICK YD RD SHMvru., MN 55379
18IepnO"t1 "
~~~~
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravtty
Mechanical
Air Condnioning V
Venl System
HEA~NGORPOWERP~
Steam
Hot Water _ 0103/'2.00 \ ~ rt:: 'to
Radiation _ \ SED Du'-'
Special Devices Cl,O \'>Jll''l
u-I p. CI'
Other Devices
Model Size
Conn. Load
Fuel
Supply Openings
Return Openings
Input
Edr.
Flue Size
Output
elm.
TYPE OF WORK
Anerations
/
New Construction
Replacement
Repair
<o.~.t5D
Est. Comp. Date
\ gOD Building PermU ----0..0- b.."If,
HEATING PERMIT FEE $ _ ~.S)
Est. Cost $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
40. 00 Receipt # ':<r1 5r I ~
TYPE OF STRUCTURI;
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
/
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential. Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharae on the bottom of this aoolication.
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 ~ number before build-
ing certilica'R of occupancy will be issued.
'.ATIONS REOLJIRFn with number of supply and return openings listed per
"s per opening. New structures or additions send floor plan with supply
ions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
;. PRIOR LAKE, MN 55372.
.~, ousiness 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.
~V\C1o.~~
Appli/:!lnt'
~. 'J-O . 0--0
Date
~ /.::;.~ k.l1J
, Dal6