HomeMy WebLinkAboutMechanical Permit #01-0478
- 4PRIO~ CITY OF PRIOR LAKE Me . .,;f~~~? M 1(/
~..1;;' 16200 Eagle Creek Av. S.E. per.mit No'{ilJ!prt!Je
U .. Prior Lake, MN 55372 "i'"
~ HEATING APPLICATION I PERMlT
5"\1.0\
Date
PID# ;l.5- {)45- CJo~-O
S~e Ad~ress 1421\1 saP>DYBEACH TR ~TF.
Lot lp Block Addition ~t.....
~
Owner's Name
HARRY ALCORN
Address
14283 SHADYBEACH TRAIL
Heating Contractor RON' S MECHANICAL, INC.
Address 12010 OLD BR.ICK YARD R,D ~l-I~K()PFF ~t:;17q
Telephone # ~52/ 445-8585
Furnace Make & Model (( l&lLD
Model Size ~ ~ \lJjPLD1'
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Conn. Load
Nb
Warm Air Plants
Gravity
Mechanical -
Air Conditionin~ 3 ~ n f.(.u..(.tO
Vent. System 1~5 MIf.~ Lj.ft-J2r~m1t
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices .
Fuel
Flue Size
Supply Openings
Return Openings
'db. 000 /
Input ~~ DOO fJutput.
Edr.
Cfm.
i:!::fo
TYPE OF WORK
Alterations
Replacement
'f.
New Construction
Repair
Est. Compo Date
o-n-o\
Est. Cost $
\\ OOD
Building Permit #
(A.EO
.50
40. ti) Receipt #
39 b 1'-1
I
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
TYPE OF STRUCTURE
1. Pink - File
2. Green - City
3. Yellow - Contractor
Single Family
Commercial
~
f
Two-Family
Industrial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Public
Multi- Family
Other
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 buildino 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) 447-4245
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.
\), ^ lr
C/V~'--XJI ~
Applicc:a's Signature
~
Building Offical's f}nature
5-)[0- D J
Date
5,. dl-OJ
Date
"'"
TIME
SCHEDULED .s: d--d. --0 J +;;?{)
f!:D83 ~C<-~&jLtJL~'
DATE
CITY OF PRIOR LAKE
INSPECTION NOTICE
.;.
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- l./I!
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MEC:H RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~D PLUMBING FINAL
o SITE INSPECTION f~ ,MEC:H FINAL
COMMENTS: .;;l ~.,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
111~.' ~~j~
1 rr
cJo~+tI~
~RK SATISFACTORY, PROCEED
o CORRECT ACTIO~ AND PROCEED
o CORREC~RK. ::ALL FOR REINSPECTION BEFORE COVERING
Inspector: b lJ (J).J/I Owner/Conlr.
CALL 447-9850 FOR ThE NEXT INSPECTION 24 HOURS IN ADVANCE.
r
CODE REQUIREMENTS ARE Fo.R YOUR PERSONAL HEALTH & SAFETYI
INSNOTI