HomeMy WebLinkAboutHeating Permit 94-0038 ' � 1. Pink - File
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.� '� �� IOR LAKE
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� rn D STREET S.E. permit No. �� Single Family Two-Family Multi-Family
�O E, MN 55372
Commercial Industrial Public x Other
L ATION / PERMIT
Date
_��25 /94 PID #��= �� /-°� �4��'•-'� JOB VALUATION FEE
$0 -$1,000 2% of job value, min. $20.00
Site Address 5061 Minnesota Stree SE
� , y � $1,001 -$10,000 $20.00 for the first $1,000 ptus $1.25 for each additional
Lot Block Addition ��-/ $100.00 or fraction thereof to and including $10,000.
Owner's Name InclPnPnrlPnt Srhnnl nlcrY'lCt �K�/ � Q
$10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address P.O. Box 539, Prior Lake, MN 55372 tional $100.00 or fraction thereof, to and including
$50,000.
HeatingContractor _Bra�1� MP�t,an;�a� SerV1C2S� Iil�
3075-C Spruce Street $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
Address Little Canada. MN 55117 tional $1,000 or fraction thereof.
Telephone # h 12-4R2-8357 The price of your heating permit includes one rough-in and one final inspection.
Gordon-Piatt
Furnace Make & Model �� ��,�y�Q TYPE OF SYSTEM Addftional inspections will be billed at $25.00 each.
Warm Air Plants
Model Size Kewanee 7483 Hou�^ �^""�-'''-` " � i building �ermit number before build-
Gravity
Conn. Load N/A Mechanical ing � CLOSED DUE TO
�, Nat . Gas Air Conditioning
Fuel �62 Oi 1 Flue Size N/A Vent. System � ��ACTIVITY 8/30/O1 of supply and return openings listed
�� HEATING OR POWER PLANT � � ^r additions send floor plan with sup-
� Supply Openings 8 P � y ; .,ALCULATIONS, PAYMENT AND
Steam X
Return Openings 6" Hot Water APPL�c:ATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St.
Radiation S.E. Prior Lake, MN. 55372.
Input 5250 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
Cfm. -- 447-4230.
TYPE OF WORK I hereby apply for mechanical systems permit and I acknowledge that the information
Alterations Replacement X FVew Construction above is complete and accurate; that the work will be in conformance with the ordi-
nances and oodes of the cfty and with the state building/mechanical c�des; that this form
Repair Est, Comp. Date 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�,��p" Building Permit # a val of plans.
HEATING PERMIT FEE $ 159 .50 1/25 /94
STATE SURCHARGE $ .50 Ap ' ' ignature Date -�
TOTAL PERMIT FEES $ 160 . 00 Recei t# �. ' � l i � �
P B ing ic�a's Signature Date
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