HomeMy WebLinkAboutMechanical Permit #00-0236
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 00-07 ~0
Prior Lake, MN 55372
TYPE OF STP~ ~('TURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT
4.11 . DO PID # "2..5 - 31 4-- Cf~-O
Site Address 4453 COACHMAN LANE R I
Block 2.. Addition ('.A 2.12.1 A~E l-I, LLS .4 f];;f
952/306-7221
Date
Lot
J
OWner's Name
KHANG DAO
Address
4453 COACHMAN LANE
Heating Contractor RON I S MECHANICAL, INC.
Address 12010 OLD BRICK YARD RD
Telephone # 952/445-8585
Furnace Make & Model
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Cfm.
Output.
Alterations
v
Repair
Est. Cost $
. Est. Comp. Date
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
,30.50
.50
40.00
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical .
Air Conditioning. C I b..ft1Y\ uuw\.oI
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
New Construction
Receipt #
37/70
Single Family
Commercial
/
Multi-Family
Other
. Two-Family
Industrial
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 APR j 3 2DOO
$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 buildina oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIREQ 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.
~~C1-, .CW~1
~Iicfaht's Signatur<<:t
I!~.~ cl
,.~ ,'. :.'
II.",,! .
Building Offical's Signature
:...~
4'/}.OD
4-//;;/00
I Da~
CITY OF PRIOR LAKE
IN~ECTION NOTICE
SCHEDULED
ADDRESS ~~~
t' f).4-<:. H ""-- A.: I\J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: A . t, . ~
/
DATE TIME
41&J~ 2.'$0
~ - ~:> ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
0. FIREPLACE FINAL
"n GASLlNE AIR TST
~~/. 0
i'J~
,
I';f'
-:J-J..p
) 0
>'
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~L FOR REINSPECTlON BEFORE COVERING
Inspector: - q, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSlVOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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