HomeMy WebLinkAboutMechanical Permit #01-0567
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"'~~__-"/ HEATING APPLICATION I PERMIT
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CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. MC
Prior Lake, MN 55372 Permit No.
Site Address 3244 SPRUCE TR. Prior Lake MN 55372
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Owner's Name -'S~!I!:LJ~.~Q~~_Q~______________________ ______________
Ad d ress }_~4.i_~f..f31J_~~_lf~:..J:~1 O~_!:l<_~_____________________
Heating Contractor ~~~~~_Q~en~_~Q!!ljJan~~_______________
Address ~-~~!=_~~~~tr~~J_________________________________
Telephone # ~15JJ~_~4~~Q.Q__ ________
Furnace Make & ModeIIB.AN~__I~QQ~iL
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TYPE OF STRUCTURE,
Single Family
Commercial
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D
Other D
Two-Family D
Industrial D
D
Multi-Family
Public D
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
PLEASE NOTE:
Air Conditioner Units Cannot
Encroach Into Required Side-
Yard Setback.
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/) v e r~o f) -0 Remember to add the State Surcharge on the bottom of this application.
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Model Size _~Ht.Q.9_~J_ll
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TYPE OF SYSTEM
Warm Air Plants__ _______
Gravity _______________________
Mechanical __________~_______
Air Conditioning __
Vent. System ___________
Conn. Load
Fuel !'J_~!_______ Flue Size ~_________
Supply Openings __ __
Return Openings ---------- - .
Inpul40 00 - ------ 'REQUEST FOR INSPECTION
__'---___ Oulput ~2QQ____ ~ SENT TO HOMEOWNER. NO
Edr. _________ -- s RESPONSE - CLOSE FlLE
_______________ 4/2003
Cfm.
Other Devices
TYPE OF WORK
Alterations D
Replacement ~
New Construction D
Repair D Est. Compo Date _~8/0!_______
Est. Cost $ ~.900. ________ ___ Building Permit # _____
HEATING PERMIT FEE $
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STATE SURCHARGE $
TOTAL PERMIT FEES $.
.50
~/ 0 ~ -rJ7) Receipt # c':) q 09 ()
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.
EAT CALCULATIONS REQUIREP with number of supply and return openings listed per
om with CFM's per opening. New structures or additions send floor plan with supply
d return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
'PLlCA TlONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
~EEKAVE. S.E. PRIOR LAKE, MN 55372.
VllY 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
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.
~
06/04/2001
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Date
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Date