HomeMy WebLinkAboutMechanical Permit #01-0798
CITY OF PRIOR lAKE MC
16200 Eagle Creek Av. S.E. Permit No. (J
Prior Lake, MN 55372 -
1-<(
Date
Owner's Name
,(1 v-v ,~
Address
Heating Contractor
Address
ST~NDlifm H~.il,Tit,;G !
410 "VEST LAKE STFiEET
MtNN-;:~;::' GttS, IVl i',,-s5t+uo-~!:1~~R)
R1 ~f-q?LJ.>~~?(~J:"r
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Telephone #
Furnace Make & Model
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Model Size
Conn. Load
"'/arm Air Plants
Fuel Flue Size
Gravity
Mechanical
Air Conditioning ^
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Supply Openings
Return Openings
Input Output
Edr. ,
Cfm.,
Alterations
TYPE OF WORK
Replacement "X New Construction
"'
Repair, Est. Comp. Date
Est. Cost $ ". Y L( 0 Building Permit # ,
HEATING PERMIT FEE $ .~ G · ~ ()
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
L{ O.DO Receipt# LfOlrD
1. Pink File
2. Green City
3. Yellow Contractor
TYPE OF STRUCTURE
s
Single Family
Commercial
x
,
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 Jll 2 6 20m
$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
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 w~", Oil be in accordan,ce with the approved plan in the
~ Whico=approval of Plan~ (~ (DI
ernfS Sign~ure 7- olZv!
Building Offic sJ Signature Date I
<i - L/~ ;II- .T
~-1LfS' ~ ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
.
SCItEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
4~~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
1l-/0
/
I
/ I /"~G
~Vd
DATE TIME
1- 799'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rf-tl
I ! ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: y1r? t.f - '1 ref?; Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Il'iSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!