HomeMy WebLinkAboutHeating Permit 94-0134 .—.�....
1. Pink - File
�.>�� pRj �" � IOR LAKE � TYPE OF STRUCTURE 2• Green - Ciry
3. Yellow - Contracror
� 4629 DAK ;STREET S.E. - t�� l' ��
, Permit No. ingle Family Two-Family Multi-Family
t�:�-„ L�� 1 R MN 55372 x
P AT10N / PERMIT 9�� �� mmercial Industrial Public Other
Date PID # S•' O�� - Q 9Z �-Q JOB VALUATION FEE
Site Address 1���� �ta��,,,��j � „�� � $0 -$1,000 2% of job value, min. $20.00
Lot � Block /+� Addition �— $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 _ �.-OIVOh 41P_ 1=0.Y't�6Y1
$10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address L���'( ��Cl,Y1� ��,�� �, tional $100.00 or fraction thereof, to and including
,
$50,000.
Heating Contractor _ Rnn' � Mechanical , Inc .
Address 1812 E. Shakopee Ave. Shakopee, Mn. $50,001 andover $532.50 for the first $50,000 plus $7.50 for each addi-
- tional $1,000 or fraction thereof.
Telephone # 612 I 4 4 5 - 8 5 8 5 '
/�,,� The price of your heating permit includes one rough-in and one final inspection.
f�rn �Make�Mo el /�L.�'�� � TYPE OF SYSTEM Additional inspections will be billed at $25.00 each.
Warm Air Plants
Model Size ���S Gravity House Heating Test Record must be submitted with buildin�oermit number before build-
Conn. Load Mechanical ing certificate of occupancy will be issued.
, Air Conditionin
Fuel 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 opening. New structures or additions send floor plan with sup-
�Suppfy 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 Hafl 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 1 hereby apply for mechanical systems permit and 1 acknowledge that the information
Alterations � ReplacemeM New Construction above is complete and accurate; that the work will be in conformance with the ordi-
nances and codes af the city and with the state buildinglmechanical codes; that this iorm
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 $ `�� -� Building Permit # "'`— approval of plans.
HEATING PERMIT FEE $ �� � �� ' j%t6 �
STATE SURCHARGE $ .50 nt's Signature 7 � Date
TOTAL PERMIT FEES $ ��' �� Receipt # �,.3�.Z.� �
' di Offici ' ' nature Date