HomeMy WebLinkAboutMechanical Permit 01-0005
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 0 I -
Prior Lake, MN 55372
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. . olll D S ,Sl..v(AlR CONDmONER UNITS CANNOT
- ;-: ....II"'~,., "-",Make & Model n Va OV\ V ENCROACH INTO SIDEYARD S~ ,&:SACKS.
Model Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
TYPE OF WORK
A~erations
Replacement
, New Construction
Repair
Est. Comp. Date
Building Permit #
01- oooS-
Est. Cost $
HEATING PERMIT FEE $ 3tf. .sO
STATE SURCHARGE $ .50
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TYPE OF STRUCTURE
1. Pink - File
2. Green - City
3. Yellow - Contractor
Single Family
Commercial
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 permit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATION& BEQUIRED 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 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. whicl) requires review and approval of plans.
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Date
DA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1-10-01
'3>',0 0
ADDRESS
2501 SPr<-INq l-l<- 1<D
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O( - 0005
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 FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
J5 FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: G )( I Sli~. G~ ~ P ~.
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5&J, SpEc $. ~~'!f '- Fc..v/~.
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\~WORK SA~T~TpRY' PROCEED
# 0 CORRECT CT 0" AND PROCEED
o CORRECT~. \:ALL FOR REINSPECTION BEFORE COVERING
Inspector: ,'. ~V Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI