HomeMy WebLinkAboutMechanical Permit 01-0255
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit N
Prior Lake, MN 55372
TYPE OF STRUCTURE
1. Pink File
2. Green City
3. Yellow Contractor
HEATING APPLICATION I PERMIT
Address
Telephone #
Furnace Make & Model )/Pr1 f - nJ-G-Ir;
Model Size Sf-. - ~-5-d T R~
Conn. Load
It II
Fuel IV r: Flue Size (0 1- q
Supply Openings
Return Openings
Input Ag () n tJ Output
Edr.
Cfm. / (;n
Single Family
Commercial
t/
Multi-Family
Other
Two-Family
Industrial.
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
t./
Remember to add the State Surcharge on the bottom of this application.
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
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I "....."'''' 1 ''''Q'"I~ I "''''. I ''''\JVI''' """"" 1.1'" "''''I.II1I1U",''' YYUII I.IUIIUI1I4 l.lltill'"l IIUIIII.I"'I I.I"'IV' '" UUIIU-
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
A~erations
TYPE OF WORK
Replacement New Construction
Est. Comp. Date I) 0 f', / ~ +11.. ~
I , ,
Repair
Est. Cost $ 2/JOrJ
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
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.
/()~d:ti.. ign~a~' ~/(D1J;'OL
a.u...,.-- L/ - ~, 0 J
BUildin~Jffical's Signature . Date
Building Permit #
3q; ~D
.50
lj()~ 0 0 Receipt # 3 q 33 )
,
ADDRESS
/ L.( ~ r7-- ~(
DATE TIME
SCHEDULED 'f/;'J /0 I kJ .' '15
le~ (k.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJI '- ~55
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP (@ 0 FIREPLACE RI
o SEWER HOOKUP I ~ FIREPLACE FINAL
o PLUMBINl3 FINAL '/0' GASLlNE AIR TST
o MECH FINAL . 0
COMMENTS:
A _~
{I~ :~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEC1'ION BEFORE COVERING
~.(
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOT/