HomeMy WebLinkAboutMechanical Permit #01-1280
Flle
City
Contractor
Pink
Green
Yellow
1.
2.
3.
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E'o Permit No.
Prior Lake, MN 55372 -
TYPE.OF _STRUCTURE
Multi-Family
Other
1 % of job cost ($39.50 mi'JIlimum)
$99.50
$64.50 PLEASE NOTE:
$39.5oAir Conditioner Units Cannot
$39.50Encroach Into Required Side-
$39.50Yard Setbacks.
Public
Two-Family
Industrial, Commercial & Multi-Family
Residential
Residential
Residential
Residential
Residential
Industrial
Heating & AC
Heating Only
Gas Fireplace ,
Additions & Alterations
AC Only
~
Single Family
Fee Schedule
Commercial
o (~(b~O
~
()
ContraSiANQA ~
410 WeST LAKE STREET
:lOllS, MN 55. =
612-824-2656
[
Site Address
~
Heating
Address
Date
Lot
Address
Remember to add the State Surcharge on the bottom of this application.
final inspection.
heating permit includes one rough-in and one
inspections will be billed at $35.00 each.
The price of your
Additional
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
building permit number before build-
TYPE OF SYSTEM
Warm Air Plants
Gravity _
Mechanical _
Air Conditioning
Vent. System
~
Telephone #
Furnace Make & Model
too
Model Size
f:iEAI ~ REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan witp supply
and return locations shown. ~EAT 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) -
HEATING OR POWER PLANT
Steam _
Hot Water _
Radiation _
Special Devices
--
Other Devices
Supply Openings
Return Openings
InpkO / f)e U Output
Edr.
CALL CITY HALL
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 acoordance with the approved plan in the
case of all work which r review and approval of plans.
447-9850
TYPE OF WORK
X
Comp. Date
Replacement
..
Cfm.
Alterations
Repair
.:teceipt #
Building Permit #
HEATING PERMIT FEE ~ _ _ ~'1-5.CJ _
I
$ .50
o. e::>
-
Est. Cost $
STATE SURCHARGE
TOTAL PERMIT FEES
f:Lt
L-; lose.
v'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC. T. ~.O 0." R.. C.A.L. ..L.. FO~ REINSPECTION BEFORE COVERING
Inspector: j~Jtt-:.. 3- {() tJ7 Own@rIContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS/iOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
'"
~_~~__....__,____~__~,_~___-..__........--_.........,.,,_.____'#'__'___~..--~~_....,."~"__"^_,,"~,,_,,,,,"_._"'_O>__".,.,._."."_~_"_'_"'_~_'_