HomeMy WebLinkAboutMechanical Permit 01-0240
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETRA"v"
TYPE OF SYSTEM 1 0/03/2001
Warm Air Plants C1 ,oSED DUE TO
Gravity .L.J -CTIVITY
Mechanical lNA
Air Conditioning ~ L, -"1\
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. 0 1- tJ;{ l./ 0
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
3-21-6\ PID# d-5'~ 30J-OD3-6
Site Address \l 0 {Q;2. ('( \ \ ~o I I u ~ e.
Lot 2; BloCk- Addition. (l i~~ ~Q ~ J\/cl
,'wUl ~\Ie M~U (f
Date
Owner's Name
Address
Heating Contractor ~~xY\.'--vi \( ~ ; ~Y\O\ + ~lc..
Address \~L\<i'\ \Lh6~ \,~ ~(l W~ .
Telephone # q5~-~4~G05
Furnace Make & Model
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
,;J.1'"btJ
Return Openings
Input
Edr.
Cfm.
Output
TYPE OF WORK
Alterations
Replacement><'
New Construction
Repair Est. Comp. Date
Est. Cost $ /500 .DO Building Permit #
HEATING PERMIT FEE $ ~. 50
"5T ATE SURCHARGE $
TOTAL PERMIT FEES $
.50
L 0.00
Receipt #
393J-b
TYPE OF STRUCTURE
1. Pink File
2. Green City
3. Yellow Contractor
Single Family
Commercial
~
Two-Family
Industrial
Other,
Multi-Family
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
$3~
~
Remember to add the State Surcharge on the bottom of this application.
1 permit includes one rough-in and one final inspection.
I be billed at $35.00 each.
rd must be submitted with buildino oermit number before bui!d-
y will be issued.
___ _~L\JJ.lLATIONS 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.
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
II 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 al~ Wn~Ch reqUireC"ie'",-<lIl(l approval of plans.
Yf/(jyClWt~ 3-:2i-Qf
~plic~t'S Signature . Date
t7L (fu~ . If. .;2.-0 /
r!'uiliJing Offical's Signature Date