HomeMy WebLinkAboutHeating Permit 94-0347 t. Pink - File
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� ��4629 DAifb�'A STREET S.E. permit No. ������ Sin le Famil xx Two-Family Muiti-Family
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, � 9 Y
; ;' ' : , . � P�1�� �.AKE, MN 55372
;� �' ly;�t► i`o ° Commercial Industrial Public Other
HEATING APPLI ON / PERM{T
Date Nov n 2 3,19 4 PI #,�.3 - l1 ],Z -- O Z�—d JOB VALUATION FEE
$0 -$1,000 2% of job value, min. $20.00
Site Address 4945 Martindale St.
$1,001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additional
Lot 81ock Addition Replacement Furnace
$100.00 or fraction thereof to and including $10,000.
Owner's Name Ted Hansen
$10,OOi -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address Same As Above tionai $100.00 or fraction thereof, to and including
$50,000.
Heating Contractor Kleve Heatinq
Address 13075 Pioneer Trail $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
Telephone # 941
The price of vour hr�at�. ��•M�• �--���� �ough-in and one finai inspection.
Furnace Make & Model �ana TYPE OF SYSTEM Addit CLOSED DUE TO
GUD090 Warm Air Plants
Model Size Gravity Hous� yuilding �ermit number before build-
Conn. Load Mechanical ing ce INACTIVITY 8/30/O 1
Air Conditioning
Fuef Nat. Gas Flue Size Vent. System �i�AI .__.. ........,o, �f 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 ply and seturn 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.
Input 90, 000 Output 84, 000 Radiation S.E. Prior Lake, MN. 55372.
Special Devices
City Hall business hours are 8 a.m. - 4:30 p.m.
Edr.
., Other DevicesElectronic Air CleaneALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL ClTY HAIL
Cfm. and Humidifier. 447-4230.
�� TYPE OF WORK I hereby apply for mechan�al systems permit and I acknowledge that the information
Afterations ReplacemeM XX New Construction above is complete and accurate; that the work will be in conformance with the ordi-
nances and codes of the city a�d with the state building/mechanical codes; that this iorm
Repair Est. Comp. Date does not beoome 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 a�d
Est. Cost $ 28�0.00 Building Permit # app I of plan
HEATING PERMIT FEE $ 42 . 50 � 2 —C� G�_
STATE SURCHARGE $ .50 Appl s Signature � D T
� .�,�,_ l2-G
TOTAL PERMIT FEES $_�, 3 nn Receipt # "` �J �
Building Official's Signature Date
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