HomeMy WebLinkAboutMechanical Permit 01-0036
HEATING APPLICATION I PERMIT
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Date :f Cl n., ~h6- j 0 L PJD # Z5 - 2105 - 00/- 0
Site Address !f::t2J '3;L ~fw i t/J IJ ~ S--'
Addition tet-5 /2- 7 Industrial, Commercial & Multi-Family 1% of job cost ($39.50 minimum)
-t" .... ~ r? . - {~ Residential, Heating & AC $99.50
Owner's Name e.--L-LLVl J:;::Lf' e ~ eJ;\ e \I' Residential, Heating Only $64.50 PLEASE NOTE:
Address 1'1 {Jj _lI!2 E..<::;.f-a f to /lJLe S ... Residential, Gas Fireplace $39.50 Air Conditioner Units ~annot
~' - ~ A _ ~ ) AI(' "-.jt::;, ,If Residential, Additions & Alterations $39.50 En~roach Into ReqUIred
Heating Contractor -1=-' {' ~s...t..]}!::P - () if Vl6J r rj-, ) t. v/'~fjjjI (!; Residential AC Only $39.50 SIde Yard Set-Backs
~ / ~ 'I4~111 '
Address "3 X>'S-O f1J - ,13 tlfJ1SV, i JV.
Or') P /) I'J_(J <J~ ' !;!>731 Remember to add the State Surcharge on the bottom of this application.
Telephone # ....V..:'^ - {J......::LJ/ ../..:;, ~
J 1:+_11I }--/, In. AIR CONDITIONER' UNITS CANNOT
Furnace Make & Model fTec~v- u:!.U- ENCROACH INTO SIDEYARD SETBACKS.
Model Size If T- ~ /YlS'ld. TYPE OF SYSTEM
Conn. Load Warm Air Plants
. 1 If"'"- I ( Gravity ,
Fuel N ( j ,Flue Size 2-3 ~ Mechanical
L. iJll8f Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
CITY OF PRIOR LAKE Me
16200 Eagle Cr'~1!k ~v. S.E. Permit No. 0 I - 0030
Prior Lake, MN 55372
Lot
Block
Supply Openings
Return Openings
Input ~ Output
Edr.
Cfm.
/~/)
v- --
Alterations
TYPE OF WORK
Replacement V New Construction
Est. Comp. Date ~ f1 . 7 q fA
Building Permit # 01- OO3Jt:,
Repair
Est. Cost $ 'J.IJ 0 ()
, ..
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
3'1.50
.50
~.dV
Receipt #
38874-
TYPE OF STRUCTURE
1. Pink .. File
2. Green .. City
3. Yellow .. Contractor
Single Family
c/
Two-Family
Multi-Family
Commercial
Industrial
Public
Other
Fee Schedule
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 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
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 wo~ which re,quires rev7:J-ew a approval of p~lans
1~/ ' ,AI
rK~ .. cUrr.rCJ/
'e.... Date /
1- z,?,-O J
Date
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
S(
ADDRESS
/.L/8'3z. 7..P/...iu
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
~,.,-
~
?'''''-
DATE TIME
,';0
f~ ?/dl
Atk.
'1.'s()
() I - (Ja.!56
o EX/GRAD/FILLING
o COMPLAINT
l 1ME~~c.€
; ~FIREPLACE FINAL
'0 GASLINE AIR TST
o
_ .'''.:,u nJll. _
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~P) )
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-"'~'~~~_.:r-,p~~~,-,_..~,W:'~_~!-~-"...r.:;.c~;.&~""".
-,; WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: .-;%.- ( Own er/Contr:
- 1
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!