HomeMy WebLinkAboutHeating Permit 96-0252 � PR/p . __`�, � ��, � � � � �� � � ���` t. P'ink - Fiie
��.�°� R �.�� CITY OF PRIOR L -�� ,, --- ,~ TYPE OF STRUCTURE 3. Ye ll�av - Contractor
� ,,, 16200 Eegle Creek Av. .E. Permit No. ��'� '''��"'
Prior Lake, MN 553 �� ��� :•� � 2 j
HEATING APPLICAT{ON / ERMIT , ,�� Famil�� l/ Two Multi
7 ��� - 7� PID #� Industrial Public Other_�_
Date � \
Site Address �aZ oil�� yi� C�C/ � C �" Fee Schedule
Lot � Blodc Addition � � G7�L�`�'` Industrial, Commercial & Multi-Family 1% of job cost ($89.50 minimum)
Owner's Name ST�Uc N /�.i /�dSt % Residential, Heating & AC $99.50
R idential, Heatin Only $64.50
Address �y� � � ��p'/�C/ d��t �, �¢v t s,. � , esi ential, Gas Fireplac $39 0
� A i ons .5
Heating Contractor
Residential, A Only $39.50
Address
Telephone #
, Remember to add the State Surcharge on the bottom of this application.
Furnace Make odel TYP OF SYSTEM The price of your heating permit includes one rough-in and one final inspection.
W m Air Plants
Model Size G vity Additional inspections will be billed at $35.00 each.
Conn. Loa ° echanical House Heating Test Record must be submitted with ' in ermit number before build-
Air Conditioning ing cert'rficate of occupancy will be ���-
Fuel Flue S' Vent. System
� �t CALCULAT'^' � �ber of supply and return openings listed per
Supply nings HEATING OR POWER PLANT room w'•` " t 1� �� � or additions send floor plan with supply
Steam ��� � U �OI 1 CULATIONS, PAYMENT AND
Return Openi Hot Water f �-+�Q �� $� O Y OF PRIOR LAKE, 16200 EAGLE
Radiation �� �I�1
Input Output Special Devices �j AC
� 11�' ., a.m. - 4:30 p.m.
Edr.
Other Devices A ._ m�ST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Cfm.
447-4230
TYPE OF WORK I hereby apply for a mechanical systems permit and I acknowledge that the
Alterations � RsplacemeM New Construction 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
Repair Est. Comp. Date 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
Est. Cost $� Sb� Building Permit # case of all work which requires review and approval of plans.
HEATING PERMIT FEE $ 3 S U � I�� 7 i��' �`
STATE SURCHARGE $ .50 ApplicanYs Signat Date
TOTAL PERMIT FEES $ � a� tS� Recei t# ��� I � `,g_4 �
P Bui g Offical's ignature Date