HomeMy WebLinkAboutHeating Permit 95-0054 1. Pink - File
F /� 3. Yeilow - C nVactor
.�° pR'O � CITY OF PRIOR LAKE TYPE OF STRUCTURE
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� m 46 29 D A KOT A S TREE T S.E. permit No. ��^ � Single Family Two-Family Multi-Family
PRIOR LAKE, MN 55372
Commercial Industrial Public Other
HEATING APPLICATION / PERMIT
Date
��o ��S PID # .�� DD� — D� �—� �OB VALUATION FEE
0-$1,000 2% of job value, min. $20.00
Site Address 16251 �renston Avenue SE �,
$1,001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additionai
Lot Block Addition $100.00 or fraction thereof to and including $10,000.
Owner's Name T]illiam Miasel 440-692Q
�$10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address 16251 Fvenston 1lvenue SF, Pri_or Lake. MN 5537� tional $100.00 or fraction thereof, to and including
$50,000.
HeatingContractor Ron's Mechanical, In . `
Address 1�312 East Shakopee Avenue Sha opee. Mr1 55379 $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
Telephone # 445 -�35�i5 �
The price of your heating permit includes one rough-in and one final inspection.
Furnace Make & Model � 7�.�0 OF SYSTEM,f Additional inspections will be billed at $25.00 each.
Warm Air Plants
Model Size �- 7��� Gravity House Heating Test Record must be submitted with building �ermit number before build-
Conn. Load
Mechanical ��� �o�t�tirais of ocCUDa�oN will be Issued.
- Air,Conditioning
Fuel /lf • U'� Flue Size � Yern. System CLOSED DUE TO mber of supply and return openings listed
� :tures or additions send floor plan with sap-
Supply Openings HE�G OR POWER PLANT INACTIVITY 8/30/O 1 OSS CALCULATIONS, PAYMENT AND
Steam CITY OF PRIOR LAKE, 4629 Dakota St.
Return Openings Hot Water
Radiation 5.t. rnor �and, ����.. .,,,.,. _.
Input Output Special Devices
City Hall business hours are 8 a.m. - 4:30 p.m.
Edr.
Other Devices '' ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Cfm. �-��� 447-4230.
TYPE OF WORK 1 hereby apply for mechanical systems permit and I acknowledge that the information
Afterations ReplacemeM {Vew Construction above is complete and accurate; that the work will be in conformance with the ordi-
nances and codes of the city and with the state building/mechanical c�des; that this form
Repair Est. Comp. Date - 93� 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
Est. Cost $ �a � a• ao Building Permft # `���� approval of plans.
HEATING PERMiT FEE $ ��- � � L� -��(o �1�.�
STATE SURCHARGE $ .50 ' nt's Signature Date
TOTAL PERMIT FEES $ o� .�-av Receipt # ��0 � � � � �
ui ng icia s Signature Date