HomeMy WebLinkAboutMechanical Permit #00-0097
CITY OF PRIOR LAKE MC IV\tJ 7
16200 Eagle Creek Av. S.E. Permit No. 00 -' '..AL..l'
Prior Lake, MN. 55372
HEATING APPLICATION I PERMIT
Date 7- f-oo PID# ?5 -2.84-' fJ4-0-n
Site Address 1'16'10 hacJ,~.,... Cr.J:
Lot E- Block. 'E) Addition IJh;etel/h5tG Mt...-<.r~
Owner's Name OA yo r /%.YI'1 ~~I.n 4/J
Address /t./~ ~h ~,~ cl-.
Heating Contractor Skltw.~~. &..1
Address r'JC!.;) .&/54;1'\ 5"J 54/
Telephone # 41'-/"""/- 7/f?S
r~:.~~ Make & Model./J1.jdz t1t~.t"~PE OF SYSTEM
Warm Air Plants
Model Size . Ovr?~ ~ A/ Gravity
Mechanical
Air Conditioning
Vent. System
~/I/..t~~
/hw t:.b
Conn. Load ,
Fuel
~f;
Flue Size
Supply Openings
Return Openings
Input ;J7; () (:) Cl Output
Edr.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Cfm.
TYPE OF WORK
Alterations
New Construction
Replacement.
Est. Comp. Date
Building Permit #
Repair
Est. Cost $ .2, "00
()(j -0097
,
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
39.6-0
.50
L/() . 0 0 Receipt # ..3(0 95'1
I
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Conttactor
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
$64.50 PLEASE NOTE:
$39.50 Air Conditioner Units Cannot
$39.50 Encroach 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 $35.00 each.
House Heating Test Record must be submitted with buildinq permit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
~~~
-;, A7!f{/;lJ/. _______
ff'cal's Signature
BUrl
'J--? '-00
!Da~
3. 3/00
Date
4[# TIME
CITY OF PRIOR LAKE ll:u
INSPECTI")N NOTICE SCHEDULED
~
ADDRESS 1J./f:?fJO CnocA ~: AI'} Cr
OWNER CONTR.
PHONE NO. PERMIT NO. o - '17
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o .fOUNDATION o MECH RI ~LAINT
o FRAMING o WATER HOOKUP LACE RI
o INSULATION o SEWER HOOKUP A ti(FIREPLACE FINAL
o FINAL o PLUMBING FINAL GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
.,....cOMMENT$: _
c\_r Dr~ ~1or f-i\1'f fA(JJ,
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CLOSED DUE TO
INACTIVITY 1/1/03
CI t :~~.lO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~::::f1(EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI