HomeMy WebLinkAboutMechanical Permit #01-0846
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 0 ( ,- /)
Prior Lake, MN 55372
TYPE OF STRUCTURE
1. Pink File
2. Green City
3. Yellow Contractor
HEATING APPLICATION I PERMIT.r'"
()Jj - OL) ~ ~- 0 I ft--'-b
PID#
lot Bf='.BIOCk
Owner's Name
Address
Heating Contractor V ('\ n:S m ee- '1I1Jl l CJJ- . <' L he.
) ~o, l) r) ld ~rir..J< 'YA r2rl
Telephone # q 5).. - L{ '" ~ -- <7< 5'~_<; Sho.-K-opee.
Address
Furnace Make & Model
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditio~ing:J -10" fl,uuO
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Model Size
Conn. load
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
Alterations
TYPE OF WORK
Replacement X New Construction
Repair
tz ./~.O I
Est. Comp. Date
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit # .
3i.6D
.50
U 0 .00 Receipt #
tfo -3 3LJ
I ,
Single Family
Commercial
1-
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 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)447~245
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 requires review and approval of plans.
LJ t J
~~J~~
AP~'S Signature
_./
Buildi Offical's Signature
8'-u.{) I
Date
F(f(OLe
ADDRESS
Lie; 33
TIME
SCHEDULED 9-X-; q;oV
aJ( g-~ Ii
(jl-. kL/~
Ol-Ioqb
DATE
CITY GF PRiem LAKE
INSPECTION NOTICE
OWNER
CONTR.
COMMENTS:
PERMIT NO.
~ ~
(0GI jIJJ. . PLUMBING RI W~Tl "0 EX/GRAD/FILLING
o MECH RI f..., ll- 0 COMPLAINT
-2.. WATER HOOK 0 FIREPLACE RI
p' SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
O.A -:.B'i.~... .t!d..,.. ......~~)
w,'" /
('~ ~ Dl-8'f& ^.c.., ~
,4.. C .
{
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
~ ~INAL ~t.\
o SITE INSPECTION
-"~'
~ 9J6z
Or- J~
~ WORK SATISFACTORY, PROCEED
/ 0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ t Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl