HomeMy WebLinkAboutMechanical Permit 01-0403
HEATING APPLICATION I PERMIT
Date .6-- - ~:~ -0 I PID # J s=- i ()~ - 001-0
Site Address (b 5 "~ G <5> ?<<.. , """ ~ A...r E:- S- LV
Addition WeeJl) }-/.Qi-s / S- + t.,-
I
LA- c-\. ~ ~ ('L ~
Address , b 53 b :5:> ~ (L, ~ c.-,
Heating Contractor~ ~ 'S:. l D~ N'\ \ " \,.
Address \ g , 0 (;. - "i 1 ~ r S f -
Telephone # b, ~.. 7 2- Y -l g l1
A---,c..
~ Make & Model .k.u.v . TYPE OF SYSTEM
U It M~ 0 z 1 J t"\ ~ Warm Air Plants
? ''"'t-p- -... , . Gravity
Mechanical
Air Conditioning
Vent. System
Return Openings
Input '2 '1 . 0 0 0 . Output
Edr.
Lot i'
Block
Owner's Name
Model Size
Conn. Load
Fuel ~ \-c:. c..
Supply Openings
Cfm.
Alterations
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1. Pink File
2. Green City
3. Yellow - Contractor
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.6 t
Prior Lake, MN 55372
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TYPE OF STRUCTURE
~
Two-Family
Industrial,
Multi-Family
Other
Public
Fee Schedule
M I "'-~
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 PLEASE NOTE:
$39.50Air Conditioner Units Cannot
$39.50Encroach Into Required Side-
$39.50Yard Setbacks.
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Remember to add the State Surcharge on the bottom of this application.
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The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinQ Dermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Flue Size
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
City Hall business hours are 8 a.m. - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447.9850
Other Devices
......~ w A.. <:.. TYPE OF WORK
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not bi$e a permit until signed by the BUILDING
OFFICIAL; th~he work will J,J, . ccordance with the approved plan in the
case of all wor which requille~ e ew and approval of plans.
c;: r V l...--- t..\ - 2> 0 --0 I
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Building Offi~ignature Date
Replacement
New Construction
Repair Est. Comp. Date
c:oC)
Est. Cost $ 2. \ '-1 g , Building Permit #
HEATING PERMIT FEE $ 3 q .. S C)
STATE SURCHARGE $ .50
TOTALPERMITFEES $ '10 ~ O() Receipt# 39.5lf~