HomeMy WebLinkAboutMechanical 00-0383
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permh No.
Prior Lake, MN 55372
Address
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Furnace Mak8 & MOOsl C" UDItJ6~f.J~
Model Size L/JD,/)I)O d..TtI~
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Output
Clm.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condhioning 7 A;}IJ~JI,,//AJA
Vent. System
HEATlNG OR POWER PlANT
Steam 0 \
Hot Water \ O!03120 1)ut- 1'0
Radiation . Cl.,OSt-1)
Special Devices _ l~1'\C'n\Tl1'i . .~. DUsiness hours are 8 a.m. - 4:30 p.m.
Other Devices ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
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AIIerations
TYPE OF WORK
Replacement)C. New Construction
Repair Est. Comp. Date
Est. Cost $ ~ ~ Building Permh' . CJn - (') ~'l,
HEATINGPERMITFEE$ "3Cf. 5"0
STAlE SURCHARGE $ .50
TOTAL PERMIT FEES $ LfO . ~ Receipt. ~ 7 4 {., f(
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Conlractor
Single Family .
Commercial
x-
Multi-Family
Other
. Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Rreplace
Residential, Addhions & Alterations
Residential, AC Only
1% of job cosf ($39.50 minimum)
$99.50
$64.50 MAY 2 2 2000
$39.50
$39.50
$39.50
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 submitted with !llIi!mog Wmil ~ before build-
ing certifies!.. -' 'Cupancy will be issued.
1~ REQUIRED with number of supply and return openings listed per
. opening. New structures or additions send floor plan with supply
,hown. HEAT LOSS CALCULATIONS, PAYMENT AND
BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
OR LAKE, MN 55372.
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
wilh Ihe ordinances and codes of the city and wilh the slale building/mechanical
codes; Ihallhis form does not become a permit until signed by the BUILDING
OFFICIAL; Ihallhe work will be in accordance with the approved plan in Ihe
:nase of work which requires review and approval of plans.
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