HomeMy WebLinkAboutMechanical Permit #01-0631
HEATIN~ APPLICATION I PERMIT
Date ~I\;np .1/st, Of PID# ?i=;-~o#
Site Address , /41 q ( r:'\~'r .~ lJlE ~
Lot..4- Block I Addition -.tJ...sHo~y ~ t:>Jlt Industrial, Commercial & Multi-Family 1% of jnh cost I$3Q_50 minimum)
111 'fj J m... k (- <; Residential, Heating & AC $99.5Q PLEASE NOTE:
. ~. \C A Residential, Heating Only $64.50 Air Conditioner Units Cannot
/ '-1/ q I F ,',.It e r Ij () e" i1J C" Residential, Gas Fireplace $39.50 Encroach Into Required Side-
F \ e oJ t:) d r: {2 ! ,4 / J,' /J ~ f{Y'~e Res~dent~al, Additions & Alterations $39.50 Yard Setbacks.
I r '" I llw' - (? 'J1 Y' t ' / Res,denbal, AC Only $39.5(1
32'50 Ii/. C:f--!3 ~<;fJ/J ~J /J!/JlibE?
Telephone #. CI'~~ - ;r>q/J --r) <i& Remember to add the State Surcharge on the bottom of this application.
Furnace Make & ~ode~ /Is; t -nJ-~ ".TY; OF SYSTEM
,\ L -1501/(' ., ~:;:ir Plants
Mechanical
Air Conditioning
Vent. System
Owner's Name
Address
Heating Contractor
Address
Model Size
C.onn.Load
Fuel -1J) c;
Supply Openings ,
Return Openings .
Input 2.. BaY)
Edr.
Cfm.
! (Of)
Alterations
Repair
Est. Cost $ .
1. Pink - File
2. Green - City
3. Yellow - c...._.....ctor
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
TYPE OF STRUCTURE
/ Two-Family Multi-Family
Single Family .
Commercial
Industrial
Public
Other
Fee Schedule
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
a ,~ II
Flue Size ..I:J'; (g-
House Heatina Test Record must be submitted with buildino oermit number before build-
ing certificate ~f occupancy will be issued. .... ... .. . . .. .. .- - . - - - - ----
J::iEAI CALCULATIONS REQUIREQ 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.
Output
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
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
OFFI~:~. hat the work will be in accordance with the appro. ved plan in the
case II ork which u' s re~ approval of plans.
/ !~PIi \ e ' " 3;/tf!JoIJs!; &/
" - Z5 - 0/
Date
Other Devices
TYPE OF WORK
Replacement New Construction
. Est. Comp. Oate :;1 ~ !J. ~ CJ I
~O Building Permit # 0 (-(j ~.3 /
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
31B54-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7-;),,-0 ( /0:0 ()
7-~~I~
ADDRE~f'~
OWNER
/ L/19 /
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: ~L.-
)
~
~ C7\^-1~ Q;....u - e-k.l
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTIION BEFORE COVERING
~,
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPE:CTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ