HomeMy WebLinkAboutHeating Permit 95-0232 _ ( L , ; _ .� �_ __� . , .
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i I� �-��+ �� !'�- _� _ , 1. Pink - File
PRIpR 2. Green Ciry
�I ' W i,' �fJF PRIOR LAKE TYPE OF STRUCTURE 3. Yellow - Convacror
�` 95-
m � AKOTA STREET S.E, permit No. �a Single Family Two-Family Multi-Family
R LAKE, MN 55372
Commercial Industrial Public Other
PPLICATION / PERMIT
9I �II 9S PID #,�,1 O �OB VALUATION FEE
Date — d �— 00 �—d
--r—
Site Address 4344 PLEASANT ST $0 -$1,000 2% of job value, min. $20.00
y� µ' Z— 7 � � /'� �9 $1,001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additionai
Lot li/ � `�lock ddition (�����„�./ (�.dL�� �
$100.00 or fraction thereof to and including $10,000.
Owner's Name TORSTEN SCHMIDT 4�7-6509 $10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address 4344 PLEASANT ST tional $100.00 or fraction thereof, to and including
$50,000.
Heating Contractor RON' S MECHANICAL, INC . �
Address 12011 OLD BRICK YARD ROAD $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
Telephone # 4 4 5— 8 5 8 5
The price of your heating permit includes one rough-in and one final inspection.
Furnace Make & Model ��,OST��- TYPE OF SYSTEM Additional inspections will be billed at $25.00 each.
Warm Air Plants
,, Model Size Gravity House Heating Test Record must be submitted wfth b�ilding �ermii number before build-
Conn. Load Mechanical ing certificate of occupancy will be issued.
Air Conditioning
` Fuel i�J'� Flue Size Vent. System HEAT CALCULATIONS REQUIRED with number of supply and return openings listed
HEATING OR POWER PLANT per room with CFM's per open+ng. New structures or additions send floor plan wiih 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 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
�m. 447-4230.
TYPE OF WORK I hereby apply for mechanical systems permit and I acknowledge that the information
Alterations Replacement ✓ New Construction abo�e is complete and accurate; that the work will be in conformance with the ordi-
4 ' nances and codes of the city and with the state building/mechanical codes; that this form
Repair Est. Comp. Date does not become a permit until signed by the BUILDING OFFICIAL; that the work wi(I be
E � . �� $/ � D � v � �.__. in accordance with the approved plan in the case of all work which requires review and
Building Permit # ap roval of plans.
HEATING PERMIT FEE $ � rP' a� �- ��� gf 9�j
STATE SURCHARGE $ .50 p icanYs Signature � Date
� �//� -7 l4-.�-g�"
TOTAL PERMIT FEES $ a?jP' 7� Receipt # ,C.lo d!,�
Buil ' Official's Signature Date