HomeMy WebLinkAboutMechanical Permit #01-0893
CIT-{ OF PRIOR LAKE MC '2-
16200 Eagle Creek Av. S.E. Permit No. 0/- O~ J
Prior Lake, MN 55372
Date
NEATING APPLICATION I PERMIT
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Lot
Block
Owner's Name
Address
Heating Contractor
Address
Telephone #
Furnace Make & Model
Model Size
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
Alterations
Repair
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MIN~\H::,(\POLIS, iV!N 55408-2998
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HEATING PERMIT FEE $ ~ <; · <; D
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ ~((). OU
TYPE OF WORK
Replacement X (ew Constru.ction
Est. Comp. Date 9 ~ (0 1
'I .
61-087-~
Est. Cost $
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning ")(
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Building Permn #
Receipt #
4-0377
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Single Family ^'
Commercial
1. Pink File
2. Green City
3. Yellow Contractor
TYPE OF STRUCTURE
Two-Family
Industrial
Public
Multi-Family
Other
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 buildina oermit 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
Phone: (952) 447-9850
Fax: (952) 447-4245
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. vryrk which re~eview...nd approval of plans. . / /
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BUil1 Officars Signature
Date
vii 1 vr rn.lvn. ~"_
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
INAl
SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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&PW6RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspeclor: ~ 4-4 -d)Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI