HomeMy WebLinkAboutMechanical Permit #00-0255
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. .00- 0255
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date. Lj- jCj- CY:) PID#.zS--93S -- 02/-D
Site Address 4L-f?;'() LllY~e.<; ~t_ NE J2../SO
Lot Block Addition Sc:c.:r 35""
Owner's Name Del Olden bLH--C\
Address 44 ~D LDydf.~ SI-_"J NE=
Heating Contractor \.NDh /rrS Mu+h5.ir:k.J -/f-/z;J.
AddressJttJ5'l vU. ~.th ,<'f. SUik lnl/J
- . - .
Telephone # 43J-70~9
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning Cr:H'-Y-leJr- 2..Yz-tDn
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.
Output
Other Devices
Cfm.
TYPE OF WORK
Alterations
x
New Construction
Replacement
y- \l- (')~
!TV --n2C;&:)
Repair Est. Comp. Date
Est. Cost $ 25/5.~. Building Permit #
HEATING PERMIT FEE $~. .5-9-
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ Lj n ~
Receipt #
37/q4-
1. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family
Commercial
)<
Two-Family
Industrial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Public
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50 APR 2 0 2Wl
~
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.
L/ - fq -{;l)
.. I Oat,
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I Dite
CITY OF PRIOR LAKE
., INSPECTION NOTICE
SCHEDULED
ADDRESS 44Pn
I
Lott-05
S'..,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~.2;UMBING FINA~
o SITE INSPECTION J l ~ ? mECH FINAL
COMMENTS: ~ FlYlol
~
~/!'~~ 7"u& "'\
\{ - /
--- ---
_ L~Ar
~
TIME
ta~bo
0...255
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~\
Inspector;
Owner/Contr:
\'/f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!