HomeMy WebLinkAboutMechanical Permit #01-0467
10/03/2001
CLOSED DDE 1'0
. lNAC'Tl\Tl'T~
~ hereby apply for a mecha .
Information above is mcal systems permit and I
with the ordinances ~~:Plete and accurate; that the wor~cknowl~dge that the
, . codes; that this to codes of the city and with t will b~ In conformance
':< ~Ildlng Perm~ , OFFIC AL; th th~ oes not become a permit un~i~ ~tate building/mechanical
d ~/'!iO casn all w ic ",' oe ~rdance with th~gned by the BUILDING
STATE SURCHARGE $ .50 ~I ' requires re) and approval of ~~~~~ved plan in the
TOTALPERMITFEES $ 'i{)/J~ .Receipt,3<11003 ,Applicanr~ S/J({~/
4114-t?:'~~h Hie.. IU(/'t /II~ #/c- Building Officaf'YSignature S//f/Oj
h/A. t!.h.P/';.u~ I bate
, ~'\ CITY OF PRIOR LAKE
~ ~\ Me
u r.... " 1;\ 16200 Eagle Creek Av. S.E. Permit No.
~ / Prior Lake, UN 55372
. ::; / JlEAJlNG APPLICAnON I PERMIT
Date$//Wt?/ PIO, !2 t(" /5'1....003-0
S~e MJress3~/f.s- J. ~ ;, "! c//ft-l c rq>' ~
Lot 3 Block I Addition~' cU ~
Owner's Name:5fev-c.. ~I-:;z....k:i
Address ,---:?9'r:S- r_7:)/#$~~ !/?~~)
HeatingContractor.~",--'.~, '. i. . ~':'!f; A?h / h. ~
Address J ~C)2f.UQJ1 ~ ~;; ~~ e,l!' ,?/;;:;
Telephone' 95:;;-~r/__',,,y~ ,'<;3J/~
Furnace Make & Model
TYPE OF SY., I eM
Warm Air Plants
Gravity
Mechanical .
AirConditioning ~~L......r
Vent. System '--' ~
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr. _
Cfm.
HEAnNGORPOWER~
Steam
Hot Water
Radiation
Special Devices
Output
Other Devices
Alterations
TYPE OF WORK
~
New Construction
Replacement
I
Repair
Est. Comp. Date
Est. Cost $ .
HEATING PERMIT FEE $
1f.39, ~ 1'1 t&-c,f
1. Pink File
2. Green City
3. Yellow - Contractor
TYPE OF STRUCTURE
Single. Family
Commercial
'A
Multi-Family
Public Other
Two-Family
Industrial
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 Record must be submitted with buildinq permit numbe~ before build-
ing certificate of occupancy will be issued.
J:tfAI CALCULATI""'~ REQUIRED, with number of supply and return openings listed per
room ....~ - lening. New structures or additions send floor plan with supply
'wn. HEAT LOSS CALCULATIONS, PAYMENT AND
:: MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
':{ LAKE, MN 55372.
'Je 8 a.m. - 4:30 p.m.
-.... IIIUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850