HomeMy WebLinkAboutMechanical Permit #01-0568
Date
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
lD ,,5 () \ PID # 25 4?J!:, - oo~ - 0
Site Address
~5 140th ST NW
Lot Block
Addition
Owner's Name
W.F~ T ..AN..G.HOFf'
496-0786
Address 2 9 6 5
140th ST NW
RON'S MECHANICAL, INC.
Heating Contractor
Address
17010 OLD BRTCKJARD RD
SHAKOPEE
55379
Telephone # ?i4 c:; - A c:; A C)
Furnace Make & Model
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical -
Air Conditioning ~U V'\ ~VU1..o~
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Model Size
,,___ 1__....
\.IV I II I. LVClU
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
A~erations
TYPE OF WORK
\fJ
(0."1'0 ,
Replacement
New Construction
Repair
Est. Comp. Date
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
o/-o~e
Building Permit #
3tro
.50
LJD.ro
39&:,t? /
Receipt #
TYPE OF STRUCTURE.
1. Pink File
2. Green City
3. Yellow Contractor
Single Family
Commercial.
~
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 RecOid must be submitted with buildiilo permii 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 work which requires review and approval of plans.
~~QwWl~ U-F:).D/
- Appl(<\~~e Date
~ '7. 0/
Date
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHIEDULED
t i9.0/ 1-,'ov
ADDRE€S
2/1!pS- / 4-(J 7H- ~ I .
OWNER
CO~ITR.
PHONE NO.
PER:MIT NO.
6/-a5roY
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBINlG RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER ..lOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL A____ ~A~l AIR TST
o MECH FINAL l\ (' . L..-- ...
COMMENTS:
~.OSe
S~/e
/^
/' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~Rk, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR 'HE NEXT INSFIECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ