HomeMy WebLinkAboutMechanical Permit 01-0018
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City
Contractor
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TYPE OF~TRUCTURE
OI-ooIB
MC
Permit No.
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E.
Prior-Lake, MN 55372
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50 PLEASE NOTE
$39.50 Air Conditioner Units Cannot
$39.50 Encroach Into Required Side-
$39.50 Yard Setback.
the bottom of this application.
Public
Two-Family
Industrial, Commercial & Multi-Family
Residential,
Residential
Residential
Residential
Residential
Industrial
Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
t/
Single Family
Fee Schedule
Commercial
I PERMIT
HEATING APPLICATION
-rh
Date
Site Address
Block
Owner's Name
Heating
Address
Address
Lot
final inspection.
heating permit includes one rough-in and one
inspections will be billed at $35.00 each.
The price of your
Additional
Telephone #
buildinQ wmni1 number before build-
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
ning
m
HEAT CALI LATIONS 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.
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
Conn. Load
Fuel -----!J.L.G..--Flue Size
Supply Openings
Return Openings
Input ~ Output
Model Size
City Hal 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) -
business hours are 8 a.m.
Edr
Cfm.
CALL CITY HALL
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 rk which requires review and approval of plans.
447-9850
"
Other Devices
New Construction
/ q-I-I,
TYPE OF WORK
Comp. Date
Replacement
Est
Alterations
Repair
3~KS
Building Permit #
31.~
Receipt #
.50
.([1)
HEATING PERMIT FEE $
$
$
Cost $
STATE SURCHARGE
TOTAL PERMIT FEES
Est.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/523?
SCHEDULED J~ 'j,'/J()
t-J/l..0J' ~KkJJ
CONTR.
OWNER
PHONE NO.
PERMIT NO.
bJ -DC> Ie
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
,Jt FIREPLACE RI ft
o FIREPLACE FINAL ^-
15 GASLlNE AIR TST rr
o
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION D PROCEED
o CORRECT ,CA. L FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS AR FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI