HomeMy WebLinkAboutMechanical Permit #00-0064
HEATING APPLICATION I PERMIT
Date Z //Cp /00 PID # 25-,3/0 -04-/ - 0
Site Address /4-4h 9 l?l.-(/ e:~ /,€O 77<F1Il- /2./
Lot I Block 5 Addition KNOB ifiLl-
Owner's Name Q<-.r.t'L qt. t? oLLe- c rZ.' /~ # L,.~ A" )
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/44-01 Et-V68IRLJ ~,
.Ev ()WAle;~
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Address
Heating Contractor
Address
Telephone #
l=.P.
.....M~Make & Model
Model Size
Conn. Load
Fuel.
Supply Openings
Return Openings
Input
Edr.
Cfm.
Alterations
Repair
Est. Cost $
CITY OF PRIOR.LAKE Me
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
()O -00&4-
r1A:JE-STl0
DVte39
I
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Flue Size
Output
Other Devices
TYPE OF WORK
. Replacement
New Construction
. Est. Comp. Date
Building Permit #
HEATING PERMIT FEE $ 39..50
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
4-0 .0 0 Receipt #
~918
TYPE OF STRUCTURE
L Pink
2. Green
3. Yellow -
File
City
Contractor
Single Family
Commercial
../
Multi-Family
. Other
Two-Family
Industrial
Public
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
$64.50 PLEASE NOTE:
~-0.ir Conditioner Units Cannot
(., .~~ncroach Into Required Side-
$39.50 Yard Setback.
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 buildino Dermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATION& 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.
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. '----Building Offical's Signature
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCH~DULED
DATE TIME
7-1z-~/e>o '\ ". 00
OWNER
\44-(P\ Ru~e.\.e-o
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
00 - &?'1-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~ FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
R..r Off
(* 30~"
,
{)/f
f~~6U IlJ (in
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/!--f:A
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI