HomeMy WebLinkAboutMechanical Permit #00-0023
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. DO.{) 0 z. 3
Prior Lake, MN 55372
0/5-0
C /S..o
Date
JJ J (.; a. J-
Lot
Block
Addition
Owner's Name
Address
Heating Contractor ~ ~ /;, 1-1 0 d --1-/11 I!
Address -=? 't?-S- '2 P CO' r ,<, h / \. 11 CP
'--'
Telephone# l/t/] - fo/~ 2-
<'1-
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity ,
Mechanical
Air Conditioning
Vent. System.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
Fuel ~Flue Size
Supply Openings
Return Openings
111(
Input.
Edr.
Cfm.
Output.
Other Devices _till}!' f:by -lop y-.
TYPE OF WORK
Alterations
Replacement.
New Construction
Repair
Est. Comp. Date
Building Permit #
qg-z.ql
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
39.5D
.50
4(J.. ()O Receipt # :3 fo 7~ J
TYPE OF STRUCTURI;
1. Pink
2. Green
3. Yellow ..
File
City
Contractor
Single Family
Commercial
Two-Family
Industrial
Multi-Family
Public Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50 PLEASE NOTE:
$64.50Air Conditioner Units Cannot
$39.50Encroach Into Required Side-
$39.50Yard Setbacks.
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form 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 approval of plans.
///-Jh.OQd
4.D~L
~
~~
. /\1
ft's ,!9!1~t~~J:i'
1/", ,. r."
~'t , 1:+,,::.. }'~~
~i1ding Offical's'Signature