HomeMy WebLinkAboutMechanical Permit #00-0288
CITY OF PRIOR LAKE MC
1.6200 ~.gle Creek Av. S.E. Permit No. (10 -o9~
Prior Lake, MN 55372 -
1. Pink - File
2. Green City
3, YelIow - Contractor
TYPE OF STRUCTURE
_ HEATING APPLICATION I PERMIT
llaI8 /Jfl'd o1~(()O PID'rlb-C)l7-0QO-O
Site Address/Wf3 <) f!j/J~ AaiP '[iat (
Lot L Block S- Addition P rl (r(' . ~})jt1J Industrial, Commercial & Multi-Family 1% of joh r.nAt (~~Q.50 minimum)
.-r.. _ ~ t Residential, Heating & AC $99.5<l PLEASE NOTE:
Owner's Name l..t..-/!kJ .. . Residential, Heating Only $64.50 Air Conditioner Units Cannot
Address / CaB (fl7 - .' ~~~ 1r/Yi( Residential. Gas Fireplace $39.5<l Encroach Into Required Side-
, J:::t: IJ)' .1/ 0 ~ / /lJ 11- ;/ F;J..~ ~/J Residential, Additions & Alterations $39.5C Yard Setbacks,
Heating Contractor 1', J .(). r j /A 'Ili"( .' ~ " IIYe I Residential, AC Only $39.5C
Address ~_~ 0 tJ.J~ ~~'? I3urJ1~u/1 k f/tJ/J.:b33?
'_I " C>\.!" :-'''1 ~ Remember to add the State Surcharge on the bottom of this application,
Telephone # r...t,,)..f...# -1\ .W' /) -, J ,.., )'1
Furnace Make & Model tfer;Jl fajOr - . TYP~ OF SYSTEM
Af}[)~ ~ Warm Air Plants
Model Size ? Gravity _
{"teI-- t/~;t. . Mechanical
Conn. Load ,~ . + A' Co d'it' ,
JJ1 I /'""i (li'NlfeYW Ir n 1000ng
Fuel J U Lt:+- Flue Size (i II Vent. System
Single Family
t/'
Two-Family
Commercial
Industrial
Public
Multi-Family
Other
Fee Schedule
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 ~ before build-
ing certificate of occupancy will be issued.
Return Openings
Input ~9JOOd
Output
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
1:iEAI QAL.CULATIONS 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 retum 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.
Supply Openings
Edr.
Cfm.
Other Devices
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 al.l.4idrk which reJilllJi~ r~yiElJN anc! approval of plans.
,
ature " ,. " ;)
D /d.Lth~
's Sighature
TYPE OF WORK
Alterations Replacement New Construction
Repair Est. Comp. Date /I{ ay ~6 +J... ;-&0
Est. Cost $ J (J..O.C) Building Permit # OD - 0 a g ~
HEATING PERMIT FEE $~. SO
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $~ _ 0-0
Receipt #
'1,7 3~
DATE TIME
CITY OF PRIOR LAKE
IMdPECTI~N NOTICE
SCHEDULED '-ll -~O
V:o-oo
ADDRESS I~~ I ~
Lk\'r
OWNER
CONTR.
PHONE NO.
o - Z8/l,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP ~FIREPLACE RI
o SEWER HOOKUP FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
COMMENTS:
AU
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: tlf'1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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