Loading...
HomeMy WebLinkAboutMechanical 00-0382 CITY OF PRIOR LAKE 16200 Eagle C....k Av. S.E. Pennh No. Prior Lake, MN 55372 HEATING APPUCATlON I PERMIT Date 't .<::::: - />l-IJD PID. .QS"- 31 .- Site Address Y'1o _<\ ~ ./Jd.. f" K wtJod). Or ~. or. Lot ~ Block 4 Addhion--11 )cmd. r\d~, C5.J1A.~ OwnefsName $ho.l'\Je. (f)jc.'T'Z:..11-~79aflC;--.<;~ Z'6 5'"6, P6.~Kwo~& D t" 5. ~ Heating Contractor Pr-\ bt" L....Ye. J.I-I...o... *-J'J J~ Address / t.. t::;'>? Y ~.IdJ/t:::1f rt!)t!)R t!.t- Address I 81epnone If ",_-.. "1-/1-' -I...' ~- "1 J <"IliA i'~il'--' Furnace Make & Model TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Condhioning ./ ~..;> 7ru.J Vent. System. Model Size Conn. Load - - Fuel Flue Size Supply Openings Return Openings Input Edr. HEATlNGORPOW 01031200\ uE 10 Steam \ Sf,D D Hot Water C,--O 1\'ln'i Radiation \~J'>.C Special Devices _ Output Other Devices C1m. TYPE OF WORK Alterations v New Construction Replacement Repair Est. Comp. Date Est.Cost$_J.5'SD~ BuildingPermh' ('rh .^3S<c5) HEATING PERMIT FEE $ :3q, sn STATE SURCHARGE TOTAL PERMIT FEES $ .50 $ '16.00 Receipt. 3 7/..fJJ:f TYPE OF STRUCTURE I. Pink 2. Green 3. Yellow File City Contractor Single Family Commercial ~ Muhi-Family Other Two-Family Industrial Public Fee Schedule Industrial, Commercial & Multi-Family Reaidential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Addhions & Alterations Residential, AC Only 1 % of job cost ($39.50 minim"um) $99.50 $64.50 MAY 2 2 2000 $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. Houppl' Record must be submitted with puildino wmil number before build- upancy will be issued. is. REQUIRED wilh number of supply and return openings listed per 'pening. New structures or additions send floor plan wilh supply 'own. HEAT LOSS CALCULATIONS, PAYMENT AND ...~, BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE _" "vE. 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 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 ?:7=~ew and approval of PI~_ / g-a; Applicant's Sjjjmlfure . Dj ~!V te