HomeMy WebLinkAboutHeating Permit 95-0194 "'----_..e,,,,,,,,� � t. Pink - File
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� AKOTA STREET S.E.
�* �' Permit No. c�y Single Family Two-Family Multi-Family
��R � 'KE, MN 55372
Commercial Industrial Public Other
ATION / PERMIT
� JOB VALUATION FEE
Date PID# 2 5 18 5 0 3 10
Site Address 17 3 8 7 $UNSET TRAIL $ '$� ��� 2% of job value, min. $20.00
rJ�� l� $1,001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additional
Lot _�i / Block � Addition ( $100.00 or fraction thereof to and including $10,000.
Owner's Name RONALD FELDMAN 869-8073
$10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address 17387 SUNSET TRAIL tional $100.00 or fraction thereof, to and including
Heating Contractor RON' S MECHANICAL, INC . $50,000.
Address 12011 OLD BRICK YARD ROAD $50,001 and over $532.50 for the firsi $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
Telephone# 445-8585
The price of your heating permit includes one rough-in and one final inspection.
Furnace Make & Model TYPE OF SYSTEM Addftional inspections will be billed at $25.00 each.
Warm Air Plants
, Model Size Gravity House Heating Test Record must be submitted with buildi g permit number before build-
Conn. Load Mechanical ing certificate of occupancy will be issued.
Air Conditioning /yl�S7?3� v27A�tIS
` Fuel Flue Size Vent. System HFAT CALCULATIONS REQUIRED with number of supply and return openings listed
HEATING OR POWER PLANT Per room with CFM's per opening. New structures or addftions send floor plan with sup-
Supply Openings ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Steam
Return Openings Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St.
Radiation S.E. Prior Lake, MN. 55372.
Input Output Special Devices
City Mal! 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 I hereby apply for mechanical systems permit and I acknowledge that the information
Afterations �� ReplacemeM New 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 codes; that this form
Repair Est. Comp. Date 8 l �l � 9 S 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 $ I✓�� dv Building Permft # approval of plans.
HEATING PERMIT FEE $ a� �P� o�`-� �I//�J - �
STATE SURCHARGE $ .50 licant's Si ature Date
�'� ��,�_.
TOTAL PERMIT FEES $ � � Receipt #�� 7•Z�
Buildin icia!'s Signature Date