HomeMy WebLinkAboutMechanical Permit 01-0095
Addition Industrial, Commercial & Multi-Family 1 % of job cost ($39.50 minimum)
-.of> ~ f _... m I / f Residential, Heating & AC $99.50
Owner's Name ~~ ~rch I? ~C' atJ. Residential, Heating Only $64.50
Address ,$ m tff6~ ~{;t1 fJ. ~ Residential, Gas Rreplace $39.50
, . "', Residential, Additions & Alterations $39.50
Heating Contractor E,!" eS I fo r JII i2 Y' /4/11 e d Fi (' eSld.e Residential, AC Only $39.50
< K' SO tLJ, il.JJLu ! "3 /JIw-c lid ~ m!ll.
Telephone # '?-{; ;. - ~ r) '?~ 55" ~ Remember to add the State Surcharge on the bottom of this application,
tLe t-ytJ-r I - AIR CONDITIONER' UNITS CANNOT
Furnace Make & Model (; ~ ENCROACH INTO SIDEYARD SETBACKS.
Model Size h -::\Uf1tP-Uf~ l\1s1rt TYPE OF SYSTEM
Conn. Load Warm Air Plants
11, / ~ II. Gravity
Fuel ----f-U-'_T Flue Size "1,1-,'? 'B.! Y Mechanical
t.., H eV'Air Conditioning
Supply Openings Vent. System
Return Openings HEATING OR POWER PLANT
;)/1 Steam
Input tXJC) Output Hot Water
Radiation.
Special Devices
Other Devices
~ CITY OF PRIOR LAKE
07 ~~ MC
u r. '\ ['l1 16200 Eagle Creek Av. S.E. Permit No. 0
\ e J Prior Lake, MN 55372
~ ,HEATIHp APPLICATION I PERMIT
Date ~ P ~ ~ ).g..fk (J! PID # -2-S -14-1
Site Address J~/B (S4i!-ef'nut {!,,/' r~/ e~
Lot
Block
Address
Edr.
Cfm.
I~O
TYPE OF WORK
Alterations
Replacement
Est. Compo Date
New Construction
,9d1 I ~ ( ,~} - ilJJJ
of "'(X)q~
Repair
Est. Cost $ JoorJ
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit #
:1'. (}1J
.50
10.dO Receipt # 3ftOII
TYPE OF STRUCTURE
1. Pink File
2. Green - City
3. Yellow - Contractor
Single Family -t/
Commercial
Two-Family
Industrial
Public
Multi-Family
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 J;>uildinQ permit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATION& 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)447~245
I hereby apply for a mechanical systems permit and I acknowledge that the
, information above is complete and accurate; that the work will be vrconformance
with the ordinances and codes of the city and with the state buirding/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~ k WhiC~ reqUir~eW and a~proval of plans, p. /I/f}, \ '(
, ~~ d11k re D; A
__ z-/ ,-tJ/
BuildinQ"s1ffical's Signature Date
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED '2 "ll-:bol 2 ~ 30
ADDRESS 3~l8 ~ Sofu.mv\- 0-.
OWNER CONTR.
PHONE NO.
PERMIT NO. 0 1- 1~
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 rv
)H=IREPLACE RI Y'
o FIREPLACE FINAL
)1! GASLlNE AIR TST Pr
o
COMMENTS:
I
~
I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector. 1-- ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI