HomeMy WebLinkAboutHeating Permit 95-0270 � � -- —, �,<< 1. Pink - File
�� �F PRI � � t�' n _ �_ ,_ _ . . --""�'-^� 2. Green - City
� , � .��1� ,�� PRIOR LAKE ;� � a� • TYPE OF STRUCTURE 3. Yellow - Contractor
o � 4629 DAKO'TA STREET S.E. perm�No. Single Family � Two-Family Mufti-Family
NOV ' � �R L.�4'K�, MN 55372 �
� ' �; ; ; �, Commercial Industrial Public Other
� � ��� HEATING aPR:' ATION / PERMIT
+ JOB VALUATION FEE
Date �- PID # o��"Q �1'a� ' �v`�5�
$0 -$1,000 2% of job value, min. $20.00
SiteAddress 4977 Martindale Street �TE
Lot g Block � Addition f/1?l3 / �G/17D)c,/ $1��� '$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 2on & Joanne S t rand $10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address 49 7 7 Mar t inda le S t NE tional $100.00 or fraction thereof, to and including
$50,000.
Heating Contractor Ron' s Mechanical , Inc
Address 1 2 � 1 1 � 1 c� R r i � k Y a r d R � a d $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
Te►ephone # ( 612 ) 4 4 5 8 5 8 5
The price of your heating permit includes one rough-in and one final inspection.
Furnace Make & Model T em� s t a r TYPE OF SYSTEM Additional inspections will be billed at $25.00 each.
Warm Air Plants
Model Size NUGitiTl00EHB1 Gravity House Heating Test Record must be submitted with building �ermit number before build-
� Conn. Load Mechanical ing certificate of occupancy will be issued.
, Air Conditioning
� Fuel NG Flue Size Vent. System HFAT CALCULATIONS REQUIRED with number of supply and return openings listed
r HEATING OR POWER PLANT per 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 1 0 �, � � � 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 FINAI) - CALL CITY HALL
Cfm. 447-4230.
TYPE OF WOR�C I hereby apply for mechanical systems permit and I acknowledge that the information
� above is complete and accurate; that the work will be in conformance with the ordi-
Alterations ReplacemeM !� {Vew Construction
nances and codes of the city and with the state building/mechanical codes; that this form
Repair Est. Comp. Date ����/� 9a does not become a permft until signed by the BUILDING OFFIC{AL; that the work wi11 be
in accordance with the approved plan in the case of all work which requires review and
Est. Cost $ ��QDIJ .vd Building Permit # approval of plans.
HEATING PERMIT FEE $ ��• �� ��kj�.r'j;�
STATE SURCHARGE $ .'rJO IicanYs Si Date
TOTAL PERMIT FEES $ .�.� � Receipt # 2 �O � �
� t - �.�' .-����''
Buildi icial's Signature Date