HomeMy WebLinkAboutMechanical Permit #01-0136
CITY OF PRIOR LAKE.,~i?
16200 Eagle Creek Av. S.E. Permit No.12!;tt13 (p
Prior Lake, MN 55372,;,iff
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HEATING APPLICATION I PERMIT ~~l'
Date~ -- ~ - 0 1
Site Address. 4- 0 8:J
Lot
PID#
WfJ:!}~ "2l\&~
Addition
\Y\ ~ \\ \;-\-
S. t\ fnL
u-
Block
Owner's Name
Address
Heating Contractor
Address
HEATING & COOLING TWO INC
18558 Gountr R. 81
.... an.. UN 55369-1231
,7o;jJ 'UJS3b'n
Telephone #
Furnace Make & Model ~ VI i4lGt no
<d
Model Size '~.~ a t\ (+,{ 0 4J;J. 0 ~u
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air C.onditioning 'X
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Conn. Load
Fuel tJ <& Flue Size (g
Supply Openings
Return Openings
Input. ~ k
Edr.
Output to ~S- k
- .
Ofl\er D~ce~(QLL~..S..--L/ iV, J,;)
~n -t\A.t1uf, ~(~-f\()i'p.l)
TYPE OF WORK
_ Replacement 'X New Construction
Cfm.
Alterations
Repair
3".7-01
. Est. Comp. Date
Est. Cost $ ;':)-, (LQj)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit #
31. so
.50
1{).tJO
390&; 0
Receipt #
TYPE OF STRUCTURE
1. Pink .. File
2. Green .. City
3. Yellow .. Contractor
Single Family
Commercial
x
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 building !)ermit number before build-
ing certificate of occupancy will be issued.
f:fEAI .QALCULATIONS 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
447-4230
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.
\2.."~SL~
~littture'
, Building Ottical's Signature
..) ~';l - (1 (
Date j
-3/2-/ (J/
. Date
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3)A;el ;:w
'C~~ Cr..
ADDRESS 409;2
W~O "'-
I
CONTR.
OWNER
PHONE NO.
PERMIT NO.
JJI-/3~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o plUMBING FI~L
J(MECH FINAL"..
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL A ,
~GASLlNE AIR TST fI'
"f;!f.
/(
~ORK SATISFACTORY, PROCEED
~.ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEC:TION BEFORE COVERING
Inspector:~ l t\, I I" Owner/Contr:
CALL 447.985~:::tE NEXT INSPECTION 24 HOURS IN ADVANCE.
"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL!H &: SAFETYl
INSNOTI