HomeMy WebLinkAboutMechanical Permit 01-0306
CITY OF PRIOR LAKE MC I
16200 Eagle Creek Av. S.E. Permit No.(J / - ()?J) p
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
L\-\()-O\ PID#dl?~0'14~DOI-O
\L\ \ \ ~ Pt~'r\ LA'fr.lcL. W . E
Add~ion vy trlA/\ S h ~ OcJUV '21JV
Owner's Name -r \"fV\ C_ OY\ no-rS
Date
S~e Address
Lot
Block
Address
Heating Contractor ~. n 5<'\A \ (--L, \....CO n.;::f'-~..L- r:+ I r
Address \2\.l~ \ ~C~ \Sl.CU\& AJi ~ .
~c, 4 ,.. 0006
TYPE OF STRUCTURE.
1. Pink - File
2. Green - City
3. Yellow - Contractor
Single Family X
Commercial
Two-Family
Industrial
Public
Multi-Family
Other
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
Telephone #
Furnace Make & Model ~ h()/(
Model Size ~/u~""l5
Conn. Load IS J Oc:x:J
Remember to add the State Surcharge on the bottom of this application.
. HOMEOWNER SAID WE DID
AIR CONDITIONER'UNITS CAN" INSPECTION ALREADY &
ENCROACH INTO SIDEYARD SE DIDN'T W ANT US TO COME billed at $35.00 each. .
BACK OUT. 3/5/03. CLOSE FILE nust be submitted wnh buildinq oermn number before build-
viii be issued.
Fuel H Ct-t-.6~ Flue Size
Supply Openings
fA II
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning.'! u...vIn O~ ,~ Cg.,..<(
Vent. System ~-rz,-N
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Return Openings
Input I~ 0 DO
Edr.
----
Output
Cfm.
TYPE OF WORK
Alterations
Replacement
New Construction
Repair
Est. Cost $
Est. Comp. Date
, Building Perm~ #
HEATING PERMIT FEE $ ~q ,Et)
STATE SURCHARGE $ .50
· TOTAL PERMITFEES $ C{ 0 . OJ) Receipti313&3
nit includes one rough-in and one final inspection.
Iny '-'101 ,..,........._ _.
HEAT CALCUtA!IO.NS. BEQUlREQ 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 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.
~~ ~A'c()-ol
- Applicant's Signature . Date
Building Offical's Signature
Date