HomeMy WebLinkAboutMechanical 99-1082
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. ~2:;;i,!.082t
Prior Lake, MN 55372 .~~1#"
Dme September 1, 1999
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Site Address, Unit G - 5241
Lof 1 Block 1
HEATING APPLICATION I PERMIT
25-357-001-0
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160th St. Unit H - 5239 160th
Addition Hillsbury R4
Address
Owner's Name Mesenbrink Construction
Heating Contractor ,
Air Systems, Inc.
Address 9100 West JHoomington, Freeway, Bloomington, MN
Telephone # ,
Furnace Make & Model
~~ &it.5b50
Janitrol
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
::1
Model Size AWP 75
Conn. Load
Fuel Na t
Flue Size
Supply Openings
Return Openings
Input 75000
Edr.
5
l'
5
Output 60000
Cfm._
Alterations
Repair
Est. Cost $
Other Devices
TYPE OF WORK
Replacement
x
New Construction
Est. Comp. Date
:Jill ,UUU. 00
3.000.00 lea Building Permit #
99-1082
HEATING PERMIT FEE $, 120.00
STATE SURCHARGE $.
TOTAL PERMIT FEES $,
.50
120.50
Receipt #
.3~055
1. Pink
2. Green
3. Yellow
File
City
Conlractor
Single Family
Commercial
Public
Multi-Family
Other
x
Two-Family
Industrial
':;t.
St.
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 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 buildina oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with 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 ~:. ~i:~Z;~~7~ova' of Plans~ // /P9
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Building Offical's Signature Date
Job Address
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Te~.
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Job Address
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Temp.
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Heating Contractor (J(., ~t!5km1
Name of Tester ~
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Percent 0
Percent CO2
Percent CO
Stack Temp.
Job Address
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Temp.
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