The URL can be used to link to this page

Home My WebLink AboutHeating Permit 95-0258 � �� , � ; ~-� �-° , �� _ 1. Pink • File F PR(p�, ^� _ ' _ � y _ `` ' � � - ' i ! � , 2. Green - Ciry � .< �iT�� ', PRIOR LAKE TYPE OF STRUCTURE 3. Yellow • Contracror `� 3 Q� 46 KOTA STREET S.E. permit o. 5 Single Family V Two-Fami�y Mufti-Family F� I LAKE, MN 55372 Commercial tndustrial Public Other H PLICATION / PERMIT Dat PID # ��' DD� '��—D �OB VALUATION FEE Site Address 15 2 2 0 OAKR I DGE C I R $� '$ �� 2% of job value, min. $20.00 Lot � 81ock � Addition �a.C� .y� � $1,001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additional $100.00 or fraction thereof to and including $10,000. Owner's Name GARY PUDWILL 44 3420 $10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi- Address 15220 OAKRIDGE CIR tional $100.00 or fraction thereof, to and including RON S MECHANICAL INC . $50,000. Heating Contractor � � Address 12011 OLD BRICK YD RD SHA��E $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi- tional $1,000 or fraction thereof. Tetephone # 4 4 5- 8 5 8 5 The price of your heating permit includes one rough-in and one finat inspection. Furnace Make & Model T�l/�'I�S�' TYPE OF SYSTEM Additional inspections will be billed at $25.00 each. Warm Air Plants Model Size �� Jl d!' Gravity House Heating Test Record must be submitted with �uilding nermit number before build- Conn. Load Mechanical - ing certificate of occupancy will be issued. Air Condftioning ` Fuel .�� Flue Size Vent. System HEAT CALGULATIONS REQUIRED with number of supply and return openings listed HEATING OR POWER PLANT Pgr room with CFM's per opening. New structures or additions 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 Ciry 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 I hereby appiy for mechanicai systems permit and I acknowledge that the information Alteratians ReplacemeM � FJew 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 �%��9� does not become a permit until signed by the BUILDING OFFtCIAL; that the work will be in accordance with the approved p{an in the case of all work which requires review and Est. Cost $ f�� Building Permit # ""--� a ro I of lans. PP P HEATING PERMIT FEE $ c��• a � d �o� 3 �95'" � .� STAi'E SURCHARGE $ .50 lican s Sig �tur Date 'TOTAL PERMIT FEES $ G� �P• 7� Receipt # aL �O S�� /� � � Building �cial's Signature Date � � � t� � i « � �4 4 � � � � • � � ' �+ Vr f � �r � � > . . .•