HomeMy WebLinkAboutMechanical Permit #00-0160
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
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HEATING APPLICATION I PERMIT
::t>-' ;),,3 -- CX) . PID # _25 -OS~ - tJ()4 -0
Levn/ev Ci y. ~e;;o
I
Lot 4- Block / Addition -L./IeGS/06 ~~O.e..
Owner's Name -s6~ kV'1d ~WS
I -
Address .~:SO I Le m \e. '\J t \ y- .
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Heating Contractor W Qbl. D K SoLA~ _ t\-tcP\
. A '\ t:!:- . "-./
Address l.PC15D V\). 14{fl ..~ ~..I-k. \0\.0
Teiephone# '-\b\-lOCA .
Date
Site Address 5~1
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity .
Mechanical
Air Conditioning ~-
Vent. System .
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
\ 111... ~V\1f\tXe-
Fuel
Flue Size
Supply Openings
Return Openings
Input _
Edr.
Output
Other Devices
Cfm.
Alterations
-I
TYPE OF WORK
Replacement New Construction
Repair
3-ZI-cr~)_O(&O
Est. Comp. Date
Est. Cost $ t=:) S 1 \:) .~. Building Permit #
HEATING PERMITFEE$ 39. ~
STATE SURCHARGE $ .50
.c:.J/"'\ J2!2-
TOTAL PERMIT FEES $Jl } . Receipt #
37//0
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family X
Two-Family
Industrial
. Multi-Family .
Commercial
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
$;39.50 _ .2..
(' $..39.50...;J .
$39.50
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 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.
~lIwJ rZ.IJ
Applic.
3::23 -00
Date
3/Zg/00
D~te
Buildi
ClfY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ,c;2L) '( ~ 1'-1 Lli \,0-
,
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION J
COMMENTS: ,fIe,
f
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
\~.2:UMBING FINAL
];V MECH FINAL
~~~
o
/I
tf-IG
.---=-- ~
~9~J
- -
1Z~~
TIME
9:00
0- /60
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE CO~VERING. '
'",pedO' ~ ' Owne"~ ';ftt~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOU IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI