HomeMy WebLinkAboutMechanical Permit 01-0096
HEATING APPLICATION I PERMIT
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SiteAddress (pulf? I?~b t;;~
lot 5' Block / Addition CWKLrJ-AlO ~cr1 (p7JI
Owner's Name Dw. If -ro ) I /.11-->
Address f).1L1 m t: Residential. Gas Fireplace
Healing Contractor ~ JtfL)"'l,& ~.' ) -I- 12~ ' Residential. Additions & Alterations
Address --157 i:f OMN_Jl~ U /c:u.I, /:riJI'JY7IJ7 lYJtJJ1Jesidenlial. AC Only
Telephone' /.p fl/ _ Lfd~ -57S; 0 S.sZJbfRemember \0 add the Stale Surcharge on the bottom 01 this application.
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Furnace Make & Model ..f.:i.!:1..{) - oW- TYPE OF SYSTEM
q D LJ Warm Air Plants
Model Size i () ()() /c.~ ~ Gravity _
Conn. load Mechanical Earl>::(/( & y' ,
W\ / .J Air Conditioning
Fuel ..l.Ut.lA Flue Size Venl System
Supply Openings ~ 4- 1-/ea,)C- .HEATlNG OR POWER PlANT
Steam
Hot Water
2/J Radiation
Output " /) 6 D . Special Devices
Date,
Return Openings
Input ~I ()t)O
Edr.
Cfm.
Alterations
Repair
Est. Cost $
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16200 Eagle Creek Av. S.E. Permit No.
Prior lake, MN 55372
Other Devices
TYPE OF WORK
Replaceme'" ~ New Construction
Esl Comp. Oat.
Building Permil .
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HEATING PERMIT FEE $
STATE SURCHARGE $
.50
LiD.(Jl) p.eca~' 390/9
I
TOTAl.. FEr.MIT FEES $
UfltUlf- S I HUt, I UHt:
/
, Two-Family
, Multl-F amity
Other
Single Family
Commercial
Industrial
, Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Healing '& AC
Residential. Heating Only
1 % of iob cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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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 ho e. oh'1lilled with ~ gmnil IDlIIlbm before buad-
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FINAL INSPECTION APPROVED ON
2/22/01 BY BF AT BLDG MECH
FINAL
lUmber of supply and return openings rlSted per
ures or additions send floor plan with supply
CAlCULATIONS, PAYMENT AND
: CITY OF PRIOR lAKE. 16200 EAGLE
_ . . _.. ..... Ifl" 0)0-' /2.
City Hall business hours are 8 a.m. - 4:30 p.rn.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
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 doe. not become a permit until signed by the BUILDING
O.f.EJ.CIAL; that the work will be In accordance with the approved plan In the
~: ~'::;hIZlre. revl and approval of P:: -/3-6/
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