HomeMy WebLinkAboutMechanical Permit #00-0195
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. (f/J -0 / 9~
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date q - ,r: 00 PID # Z6 -OO(P - O/Z, - 0
Site Address qJ q J' f?) ectr-q,,;J I- sf
Lot Z- Block -z..- Addition
Owner's Name. Oe6 6"" f/'/?JS>
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,)-h#1I..J7de 6&.)
Address J.?q-J &:fr~"" S) 5w
'1"1') "" 7/~>-
Furnace Make & Model ~{l-r;h:r
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Address
$e/,-//te f
Heating Contractor
Telephone #
Model Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
Conn. Load
Fuel
#.1
Flue Size
Supply Openings
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Return Openings
Input ;17. t>OO Output
Edr.
Other Devices
Cfm.
TYPE OF WORK
Alterations
New Construction
. Replacement
Repair
. Est. Comp. Date
Building Permit #
()l) -O/Cfr-
Est. Cost $
~I f)eo
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
395:0
.50
40. dO
Receipt #
37 /4-0
Single Family
Commercial
I. Pink
A ~: ~o:
,/ _~E OF STRUCTURE
Two-Family Multi-Family
File
City
Contractor
Industrial.
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:
$39.50Air Conditioner Units Cannot
$39.50Encroach Into Required Side-
$39.5CYard Setbacks.
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.
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
CONTR.~" -- ~
p~ 0-0\ ::>)
PERMIT NO. . - -(!~4
o FOOTING
o FOUNDATION
o FRAMING
~SULATION /I.
FINAL f"""l;'
o SI E INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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(""Y"0
y,V.
o EX/GRAD/FILLING
o COMPLAINT
A ~ FIREPLACE RI
o FIREPLACE FINAL
A X G~~ AIR TST
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE kQUIREMEJTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
~ INSNOTI