HomeMy WebLinkAboutMechanical Permit #00-0065
File
City
Contractor
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TYPE OF STRUCTURE
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Me
Permit No.
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CITY OF PP
162.00 Eagle (
Prior Lake, "'II.. .._
Multi-Family
Other
Two-Family
Single Family
Commercial V
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PERMIT
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HEATING APPLICATION
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1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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Public
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Industrial
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Industrial, Commercial & Multi-Family
Residential
Residential
Residential
Residential
Residential
Fee Schedule
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
Block
Date
Address
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Address
Site
Lot
Heating
Remember to add the State Surcharge on the bottom of this application
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Address
Telephone #
final inspection
inspections
House Heating Test Record must be submitted with building permit number before build-
ing certificate of occupancy will be issued.
The price of your heating permit includes one rough-in and one
Additional will be billed at $35.00 each.
TYPE OF SYSTEM
Warm Air Plants ..-
Gravity
Mechanical _
Air Conditioning
Vent. System
A
Furnace Make & Model
Model Size
Conn. Load
Fuel )J vi
HEAT CAl' LATIONS 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
APP_L1CATIONS 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 'NSPECTED (ROUGH-'N AND FINAL) -
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
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Flue Size
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Return Openings
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Input
I hereby apply for a mechanical systems permit and 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 t aJI wo.rk Wjzh'Ch equires r7view and approval of plans.
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CALL CITY HALL
447-9850
Other Devices
New Construction
TYPE OF WORK
Comp. Date
Replacement
Est
Cfm.
Aherations
Repair
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Building Permit #
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Cost $
HEATING PERMIT FEE $
Est.
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.50
<;?"Sl>ReceiPt #
STATE SURCHARGE $
TOTAL PERMIT FEES $
ADDRESS
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DATE TIME
SCHEDULED ~
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PERMIT NO. 00 - 0 () b,s-
CITY OF PRIOR LAKE
INSPECTION NOT'CE
OWNER
PHONE NO.
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
o FIREPLACE FINAL
JJ..- 0 GAS LINE AIR TST
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COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRE TI NO PROCEED
CALL FOR REINSPECTION BEFORE COVERING
Inspect r:
Owner/Contr:
C
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl