HomeMy WebLinkAboutMechanical Permit #01-0935
File
City
Contractor
Pink
Green
Yellow
1.
2.
3.
TURE
TYPE OF~TR
CITY OF PRIOR LAKE
Multi-Family
Other
($39.50 minimum)
PLEASE NOTE:
Air Conditioner Units Cannot
Encroach Into Required
Side Yard Set-Backs
Public
1 % of job cost
$99.50
$64.50
$39.50
$39.50
$39.50
Two-Family
Fee Schedule
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
Industrial, Commercial & Multi-Family
Residential
Residential
Residential
Residential
Residential
Industrial
J
Single Family
Commercial
16200 Eagle Creef< Av. S.E.
Prior Lake, MN 55372
I
Remember to add the State Surcharge on the bottom of this application.
final inspection.
The price of your heating permit includes one rough-in and one
Additional inspections will be billed at $35.00 each.
building wmnft ~ before build-
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued. '
HEAT.QA LATI 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.
TYPE OF SYSTEM
Warm Air Plants _
Gravity
Mechanical _
Air Conditioning_
Vent. System _
HEATING OR POWER PLANT
Furnace Make & Model
Model Size
Conn. Load
Fuel f..J (-r- Flue Size
Supply Openings _
Return Openings _
Input .. 20 I cJlTO 0
,
City Hal 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850 447-4245
business hours are 8 a.m.
Steam
Hot Water
Radiation.
Special Devices
Other Devices
utput
(0
Edr
(952)
I hereby apply for a mechanical systems permit and 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 permjt until signed by the BUILDING
OFFICIAL; that the wo, Wi\I be in accordan~ with the approved plan in the
e of all work whic review approval of plans.
Fax:
(952)
Phone:
New Construction
TYPE OF WORK
Replacement
Date
x
/
Alterations
Repair
Cfm.
(JOO
HEATING PERMIT FEE $
STATE SURCHARGE
$
TOTAL PERMIT FEES $
Cost $
Est.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
DATE TIME
q-'f:'OI !) 3rb
)!ol/9[( ~fJU--(Lrb-nt{ b~
CONTR.
SCHEDULED
..
PHONE NO.
PERMIT NO.
{ -f3~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI @ 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP ~FIREPLACE RI
o SEWER HOOKUP @ 0 FIREPLACE FINAL L
o PLUMBING FINAL ~ASLlNE AIR TST (---JJ
o MECH FINAL 0 f/
J/ttaEt';(1~
~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:':::O:ECT WO~ ~OR REINS:::,::n::FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI