HomeMy WebLinkAboutMechanical Permit 01-0008
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. PernNt No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date 1- 4--01 PID #
Site Address \ \a 059 ClArY\ bric 0\ e, r j r.. SE-
. U
Addition
Owner's Name Lee, ~ n isch
Address~9 Ca.VY1bridac-, CiY". SE.
Heating Contractor WoVl \CCS ~ -hS io 6 ~,
Address ((;950 W. \4b'" St. -SLl\f< JDJo '-
,
Telephone # Y 31-1001'1
Q:lrtie~
Furnace Make & Model ~\t\)AVD 1 0-10- TYPE OF SYSTEM
. 0 Warm Air Plants
Model Size . ~~ : 00 Gravity
Mechanical X
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radi
Spec REQUEST FOR INSPECTION
Othe SENT TO HOMEOWNER. NO
RESPONSE - CLOSE FILE
4/2003
Lot
Block
Conn. Load
Fuel ~ro.. \ Flue Size ,
Supply Openings
Return Openings
Input _~(Q r DCD Output 53! QCD
Edr.
Cfm.
TYPE OF WORK
Alterations
Replacement -.X.
New Construction
Repair
Est. Comp. Date I ,; 4 - D
J
(J I-ooot
Est. Cost $
Building Permit #
HEATING PERMIT FEE $ 3'1, 5D
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $. L D !B- Receipt #
3K!b/
TYPE OF STRUCTURE
1. Pink File
2. Green City
3. Yellow - Contractor
Single Family
Commercial
x
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
$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 ,buildinq permit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
roo'm 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
~R~EK AVE. S.E. PRIOR LAKE, MN 55372.
~all business hours are 8 a.m. - 4:30 p.m.
NORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I "v.-eby 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.
~e
Applic
-1-q-DI
Date
\-q..,OI
BUildinf Offical's Signature
Date