HomeMy WebLinkAboutHeating Permit 94-0268 1. Pink - File
2. Green - City
.��� pR'O D I LAKE TYPE OF STRUCTURE 3. Yellow - Convactor
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� �' 4629 DAKOTA � ET S.E. permit No. -� 8 Single Family Two-Family Mufti-Family
�7 �KE, 55372
Commercial Industrial Public x Other
N / PERMIT
Date ^ � ` " ��`L`�`" �,5 — I6 / "' DD �— O ��B VALUATION FEE
$0 -$1,000 2% of job value, min. $20.00
Site Address 5061 Minnesota Street SE
$1,001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additional
Lot Block Addition $100.00 or fraction thereof to and including $10,000.
Owner's Name Independent School District 4d719
- $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.
Heating Contractor Brady Mechanical Services. Inc.
3075—C Spruce Street $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
Address T r...., ������ -, tional $1,000 or fraction thereof.
• Telephone # ht �—l�g9—g�S7
Gordon—Piatt 9 of your heating permit includes one rough-in and one final inspection.
Furnace Make & Model 12 q nPE � CLOSED DUE TO I inspections will be billed at $25.00 each.
Warm �
Model Size Kewanee 7L83 Gra��� �ACTIVITY 8/3 0/O 1 9ating Test Record must be submitted with building �ermit number before build-
Conn. Load Mechar :ate of occupancy will be issued.
Nat . as � Air Con
Fuel 4�2 Fuel OiAlue Size N/A 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-
Supply Openings 8 ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Steam x
Return Openings 6" Hot Water APPLICATIONS MAY BE MAILED TO THE CtTY 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 MtJST 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
ARerations Replacement X FVew Construction above is complete and accurate; that the work will be in conformance with the ordi-
nances and codes of the ciiy and with the state building/mechanical codes; 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 ap roved plan in the case of all work which requires review and
Est. Cost $ 12, 700 Building Permit # ro I of plans.
HEATING PERMIT FEE $ 159 . 50 ��J `J M,G..�-- 8/22 /94
STATE SURCHARGE $ .50 Applicant' Signature Date
TOTAL PERMIT FEES $ ] h0. 00 Receipt #� l 7 � 3r— �
B' ing Official's Signature Date
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