HomeMy WebLinkAboutMechanical 00-0445
CITY OF PRIOR LAKE MC ./
16200 Eagle Creek Av. S.E. Perm~ No. 1\O-Mq S;
Prior Lake, MN 55372 .
TYPE OF STRUCTURE
L Pink
2. Green
3. Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT, .
Datekl-D("l PID' QS"- O'll./.1"OO7-0
S~eAddress.3:E!l'l t-:~~ /~
Lot ~ Block Add~ion r"~K\ ~~ ~
Owne(sName F~ '::n..k~
,
Address ~<jJlJ'I (.;lreeAJ ~+<.. Tt:.L
Heating Contractor ~ 0'- bs!J(e /HD.. <<- Ale
Address /t.f::'Ig &6hJ.e. Ar.!)"~"" Ct- f?L
2-- "~7l-~-
Telephone' r,~,.J-"y u
F!rI,~'llaJf~j~ .t91J0IJ8{)C~
Model Size f? tlil)6n ~ 7tI
Conn. Load
c-I'
Fuel IJ AT Flue Size --'-'
Supply Openings
Return Openings
Input
Edr.
Cfm.
Output
TYPE OF WORK
AKerations
Replacement
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cond~ioning :JlI. /)(){) P,7U
Vent. System
HEATING OR POV 10/03/2001
Steam CLOSED DUE TO
Hot Water INACTIVITY
Radiation
Special Devices
OlherDevices RJ1/er;~"'''; ~.,( "IL
21JN)':J~/)#
)(
New Construction
.
Repair
Est. Comp. Date
Building Perm~' . CTl - () 4 45
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
39.SD
.50
l.}.[).Cl) Receipt. 3'7 b3J
Single Family. Y . Two-Family
Multi-Family
Other
Commercial
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addmons & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50 PLEASE NOTE:
$39.50 Air Conditioner Units Cannot
$39.50 Encroach Into Required Side-
$39.50 Yard Setbacks.
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 subm~ed w~h buildino ~ IllI!llIlm before build-
;M ---""--.. ". oupancy will be issued.
~ REQUIRED w~h number of supply and return openings listed per
.r opening. New structures or add~ions send floor plan w~h supply
shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Y BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
RIOR LAKE, MN 55372.
C~ Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - C~~ HALL
447-9850 ~ 0#
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
OFFICI~ that the work will be in accordance with the approved plan in the
.. aiR work which requires review and approval of plans.
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