HomeMy WebLinkAboutHeating Permit 94-0297 t. Pink - File
O� PR � L5 � TYPE OF STRUCTURE 3. Yellow - C nvactor
., - � IOR LAKE �
� 4 6 2 9 D A K C j � T R E E T S. E. �� 2 '� / �
� ,� Permit No. Single Fami�y Two-Family Multi-Family
�C� 4 �R MN 55372
Commercial Industrial Public Other
TION / PERMIT
Date ID # �..�'� 7•Z �' ��—D JOB VALUATION FEE
$0 -$1,000 2% of job value, min. $20.00
Site Address 49Q9 NE Martindale Street
$1,001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additiona!
Lot Block Addition $100.00 or fraction thereof to and including $10,000.
Owner's Name Pat & Jud� Gannon - 445-6887 $10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address 4909 NE Martindale Street tional $100.00 or fraction thereof, to and including
$50,000.
Heating Contractor Ron's Mechanical, Inc.
Address 1812 East Sha?topee Avenue $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
Telephone # 445–c3585
The price of your heating permit includes one rough-in and one final inspection.
Furnace Make & Model � �T�"D�c✓� 'nPE OF SYSTEM Additional inspections will be billed at $25.00 each. �
Warm Air Plants
Model Size ��,�/OU Gravity House Heating Test Record must be submitted with building r�ermit number before build-
i Conn. Load Mechanical ing certificate of occupancy will be issued.
Air Conditioning
; Fuel .�� Flue Size Vent. System liF"� TO ir of supply and return openings listed
HEATING OR POWER PLANT pe CLOSED DUE s or additions send floor plan with sup-
Supply Openings p�� � CALCULATIONS, PAYMENT AND
stea"' AF INACTIVITY 8/30/0
Return Openings Hot Water Y OF PRIOR LAKE, 4629 Dakota St.
Radiation S.E
Input l� G� Output a'�v 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 WC�K I hereby apply for mechanical systems permit and I acknowledge that the information
Alterations Replacemertt � New Construction above is c:omplete 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 f4rm
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 alt work which requires review and
Est. Cost $ ���U�C� Building Permit # approval of plans.
HEATING PERMIT FEE $ � $ / 7� �� .�
STATE SURCHARGE $ .50 a ,/ 7 d� canYs ' i ature Date
`� a d �a-�,--q¢
TOTAL PERMIT FEES $ C��� �� Receipt #
Building Officia' Signature Date