HomeMy WebLinkAboutMechanical Permit #00-0159
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. tJV -() /.sr:f
Prior Lake, MN 55372 - /
HEATING APPLICATION I PERMIT
Date 3 -d3 - OD PID # 2S-2-99 - ~~ --0
Site Address :58''2-5 r 11 r-a i V)O.l ~id~ 1f J. S. E. . pf/J:)
Lot 4- Block 2- Addition ~//V'rn- /<!/OGG leST
Owner's Name.13\ II Do bn::\ YlSlr'- '"
Address~l.F5 01 rniV1t1 \ ~iriOrv 'IV\. S ,~.
Heating Contractor V'JJh/~ rs ~l.H:h-S) de; ~~.
Address (c!j50 W. . J'/(/J-tJ: St ~IA ik JDlt? ,j
.
Telephone # L/3/- 7019
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity .
Mechanical
Air Conditioning f!.U14t;/ :0 ~
Vent. System,
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input.
Edr.
Cfm.
Output
Other Devices
TYPE OF WORK
Alterations X . Replacement New Construction
, .
Repair . Est. Comp. Date 8 - 2 Lf -C;()
Est. Cost $ JJpI5f'! ,!12. Building Permit # (J/) -0 (c:::;Cj
I
HEATING PERMIT FEE $ :;sq. S)
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ q 0 I CO Receipt # 37 f ( 0
TYPE OF STRUCTURE
I. Pink
2, Green
3. YeIIow
File
City
Contractor
Single Family .x
Multi-Family .
Two-Family
Industrial
Other
Commercial
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
$39.50
$39.50 . 24 'lDM
G39 ,,~ -
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 $35.00 each.
House Heating Test Record must be submitted with buildinQ oermit number before build-
ing certificate of occupancy will be issued.
HEAT .Q.ALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
Met
~
~-c:7-3-00
Date
"$/ ~e-7QO
Date
DATE TIME
CITY OF PRIOR LAKE . J ,fA
INSPECTION NOTICE SCHEDULED q/~/o1J ~:C5n
ADDRESS 5~~S Grlm',(\~\~\0\~@\rl.
OWNER CONTR.
PHONE NO.
PERMIT NO,
(Y')- a IF;q
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
Pr X GA.LJ~IR TST
COMMENTS:
W0
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I UK SA' 'IS FACTO . PROCEED
"F CORRECT ~AN PROCEED
o CORRECT WORK, CALL REI PECTION BEFORE COVERING
Inspector: ')wner/Contr:
CALL 447-9850 FOR THI: ~EXTANSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREME2TS RE\.6R YOUR PERSONAL HEALTH & SAFETY!
INSNOTl