HomeMy WebLinkAboutMechanical Permit #00-0343
HEATING APPLICATION I PERMIT
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1'-1'-179 N'9hfY149Q(c. W
Addition K r\AJvli-i 11 ~ ~ ACfN
ffiA
Address. \L\L\,'F l\J'l(\h-k-aq rA ~ ('.,~ r
Heating Contractor ~ \)( '(\'X\J\ \ lo... '* p rilinCA 4- Vi ( ~
:Address. \al\'X\ q.~. l~\cu0. ~~ ~.~
, ~.. .3..t:;D.~'X9'1-()()OS
~Make & Model BrL(o.trl- J3'i 3 WDqjtYVE OF SYSTEM
0,/ I Warm Air Plants
Model Size /': 0 0 C> Gravity
Mechanical
Air Conditioning
Vent. System
Date
Site Address
Lot Q Block ~-c.,
Owner's Name
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input q ~ ()()() Output
Edr.
Cfm.
Alterations
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
CITY OF PRIOR LAKE MC
16200 Eagle CreekAv. S.E. Permit No.(lO- 0543
Prior Lake, MN 55372
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
TYPE OF WORK
Replacement
New Construction
Est. Comp. Date
Building Permit # --0 0 - O~.3
.~q.60
.50
Lfo .00 Receipt# 37~d..)
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
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
$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 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 reqUire~ew and appr~'- of plans.
M~/:V,(~ r ,5-9-00
(j~Plica' I nawre - -D /1~J(Jn
o Building Off; , .oat.-
CITY OF PRIOR LAKE
INaj>ECTION NOTICE
SCHEDULED
DATE TIME
4.+.01 ~\ W
ADDRESS
/ 44--7 ~ N / GH-77 N~/::JLh
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @
~ INSULATION .
~FINAL
I] SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
o 6 -034- 3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlJrlE AIR TST
1< 1'r(C!.-
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
~-1-7
(
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IN8NOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!