HomeMy WebLinkAboutMechanical Permit 01-0347
HEATING APPLICATION I PERMIT
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Addition ~tJ ~~
Owner's Name H, V-..C:. L~ ""~ ~tt......~
Address \ 65 v-Ca S ?<i-' ~ (.;, A './ E:- ~.. ~
Heating Contractor K<::..~ \. Dc f'o....\ \\"- '-.- \-\ E;;P\.\\ "'_', <:-, '+- A -c....
Address 1 ${ l ~ G:- . 4 1 t; t ,I:::.. '\ - S u ~ ~.~ A
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Telephone # b \."L..- '72 4-l ~ '1 ~
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FtI1'ft888 Make & Model ~lbo~r-~L TYPE OF SYSTEM
Warm Air Plants
.~~ 2.."'t) ~ 2."".~ Gravity
Mechanical
Air Conditioning "'><'
Vent. System
~
Date
Site Address
Lot e
Model Size
Conn. Load
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 01-0341
Prior Lake, MN 55372
Block
Fuel
,=-,-~ <.... Flue Size
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Supply Openings
Return Openings
Input '2-'1 000 ,Output
Edr.
Cfm.
Repair Est. Comp. Date
Est. Cost $ ~ \ '-\ 8 ~ 0 Building Permit #
HEATING PERMIT FEE $ ~~- SO
STATE SURCHARGE $ .50
L1. 00
TOTAL PERMIT FEES $\. 0
~E:.~
Alterations
Other Devices
.A .. '-
TYPE OF WORK
Replacement
New Construction
OJ-o?A-7
Receipt #
..:31.:39/
1. Pink - File
2. Green - City
3. Yellow - Contractor
TYPE OF STRUCTURE
Single Family
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 PLEASE NOTE:
$39.50Air Conditioner Units Cannot
$39.50 Encroach Into Required Side-
$39.50Yard Setbacks.
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 puildinQ permit number before build-
ing certificate of occupancy will be issued.
HI;AT 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
447-9850
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; th]f;. the w. ork Wi.1I be. accordance with the approv. ed p.lan in the
case of all wOl which reql ir s view and approval of plans.
~_, j - 4-- ~f> -'0 (
(<pp1""",P~
Offical's Signature
Date
4.z;3 rO/
Date
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
Li-~~ I~LJd
ADDRESS, / /- C ,~6 ~~ A-fi
~ I (l )
OWNER CONTR(
PHONE NO. /I / ~ PERMIT NO. () / - 3 L/ '1
(
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION k F MECH FINAL
COMMENTS: A
OK
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION D PROCEED
o CORRE LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE.
(
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI