HomeMy WebLinkAboutMechanical Permit #00-0062
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
OO--OOfo2--
TYPE OF STRUCTURE,
1. Pink
2. Green
3. Yellow -
File
City
Contractor
HEATING APPLICATION I PERMIT
20/3/00 PID# ?~-O.3"- 00,,-0
I
Site Address /57 c::; q PI9/ ,t!.i5/1 N K:.S I /IC.. AI e-
- - ~
Lot -'a.- Block Addition.' MrlPC/6 PJ::- SHoe6S
Single Family
Commercial
V"
Two-Family
Industrial
Public
Multi-Family
Other
Date
Fee Schedule
Heating Contractor ~~""-F"~ ~ I. b-c+--A\ C?
-
Address ~ ""'). \ ~ t_, ') \ L.-C~<s , ~
Telephone # # P- '!/ts - S:-QY]
Furnace Make & Model ~/eJ.u:.JJ.-L Go,A..JTYPE OF SYSTEM
/~ .A .KlAI Warm Air Plants
Model Size /L/r-;.._ ~ Gravity
Mechanical
Air Conditioning
Vent. System
Industrial, Commercial & Multi-Family
Aesidential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99,50
$64,50 PLEASE NOTE:
$39,50Air Conditioner Units Cannot
$39.50Encroach Into Required Side-
$39.50Yard Setbacks.
Owner's Name
Address
Remember to add the State Surcharge on the bottom of this application.
Input
Edr,
Cfm,
Output
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices .
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 buildinq ~ number before build-
ing certificate of occupancy will be issued.
,HEAT CALCULATIONS ~QUIRED, 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.
Conn, Load
Fuel
Flue Size
Supply Openings
Return Openings
Other Devices
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
Est. Cost $
Est. Comp. Date
Building Permit #
qtl-I3ZS-
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 wo@ will be if afcordance with the approved plan in the
case of all ~ wt]jch Nquires r~ !itw and approval of plans.
-.IP<l JV_
UI&~[.,..-(7i. ,
b l,. J ;;1",\ ..' /_.. .,
p-F,J .r"f".. ! " -" .- .'; -'. ! ..~
V "uildin'gOffi6ars Signature
~
z./3/00
, t>ate
TYPE OF WORK
Alterations
Replacement
New Construction
Repair
HEATING PERMIT FEE $ :3 9. SO
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ 40 . tJ 0 Receipt # ~ G. 79/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
15Z6C)
SCHEDULED 3/1'1 Iv { A.I;
~, 'e. 6 AN ~s TI?.. <
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00- IO~ - ""1 CI.
00 - lI# 2. - F'c.c.A. _ ..A.;
oo-Itt, - F; p~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
_ ..4<1 ~",)...J~ ~
/7~~.() ~ ~J tf-.
(:tt= qq_ /~)Z,S')~ ~ C!~
\~ B/7bd: -
"-.... ~'
{I f/ ~ ~ 0 ::f:I:= 5
\
\
J
,
/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl