HomeMy WebLinkAboutMechanical Permit 01-0362
Date
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
ttEATING APPLICATION I PERMIT
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TYPE OF STRUCTURE
1. Pink File
2. Green City
3. Yellow Contractor
Address
Single Family )(
"-
Commercial
Two-Family
Industrial
Multi-Family
Public Other,
Fee Schedule
Lot
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
Heating Contractor
Address
Telephone .
Furnace Make & Model
Remember to add the State Surcharge on the bottom of this application.
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD Sc I DACKS.
The price of your heating permit includes one rough-in and one final inspection.
Model Size
TYPE OF SY::>>lcM
Warm Air Plants
Gravity
Mechanical
Air Conditioning X
"'
Vent. System
HEATING OR POWER PLANT
Steam \
Hot Water \ 0/03/200 1)Ut. 'to
Radiation OSED
Special Devices C"L C'tl"\Trr'l
Other Devices l~ N
Additional inspections will be billed at $35.00 each.
Conn. Load
House Heating Test Record must be submitted with building permit number before build-
ing certificate of occupancy will be issued.
Fuel Flue Size
Supply Openings
HEAI CALCULATIONS REQUIRED with number of supply and return openings listed per
room with ("r-- - ~r opening. New structures or additions send floor plan with supply
shown. HEAT LOSS CALCULATIONS, PAYMENT AND
, BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
llOR LAKE, MN 55372.
Return Openings
Input Output
Edr.
rs are 8 a.m. - 4:30 p.m.
-~ I BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Cfm.
Phone: (952) 447-9850
Fax: (952) 447-4245
Alterations
TYPE OF WORK
Replacement -x. New Construction
,
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.....i.n..... accordance with the approved 7n in the
case of alLlNork-which re~:;~oval of Plans:;; ?-f' /01
igrl'afUre .J I Date I
If/' (1b-()
Date
Repair Est. Comp. Date
Est. Cost $ :J- (" l( n Building Permit #
HEATING PERMIT FEE $ .~ G ,s a
STATE SURCHARGE $ .50
TOTALPERMITFEES $ l( 0-60 Receipt' \.'19fiO~