HomeMy WebLinkAboutMechanical Permit 01-0098
HEATING APPLICATION I PERMIT
...
2,/3-01 PID#.25-059- no/-O
SiteAddress /6~oJ !breezy po/nf ,(eI
Addition /2F11. LAN!) ~vl!)/ :II zs- Industrial, Commercial & Multi-Family
Ib 14 r - R.o~ f:crJ'sf, Residential, Heating & AC
. Residential, Heating Only
Address SQ.,rJe ~S S i ~ Residential, Gas Fireplace
. \. ~., '" _~ n. n _ ~(' \'" 0 . Residential, Additions & Alterations
Heating Contractor ~ '-' u...<< ,~ l' -..-:..J . R 'd t' I AC 0 I
o . esl en la , n y
Address O~~ \~ ~\--\.AJ. ~~,L,,~ <5bo1'1
l4~2) 44 ~_ \ otCC"l · - Remember to add the State Surcharge on the bottom of this application.
Date
Lot
Block
Owner's Name
Telephone #
Furnace Make & Model
Model Size
Conn. Load
Fuel
Supply Openings
Return Openings
Input
Edr.
Cfm.
Alterations '"
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $.
TOTAL PERMIT FEES $
#' /~SO -
1. Pink - File
2. Green - City
3. Yellow - C...~_..ctor
DD
SV~Dt,.\ ~
Single Family f
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
TYPE OF STRUCTURE
Two-Family
Multi-Family
Commercial
Industrial
Public
Other
Fee Schedule
?
,
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
~
$39.50
Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning _
Vent. System
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
Output
. . .' -. Record must be submitted with puildinq permit number before build-
CLOSED WITH BUILDING PERMIT ~upancy will be issued.
00-1046 ON 6/8/01 )NS .B.EQ!.JIRm with number of supply and return openings listed per
HEATING OR PO, ~r opening. New structures or additions send floor plan with supply
Steam ~ shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Hot Water ~Y BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
Radiation CREEK AVE. ~.I::. PRIOR LAKE, MN 55372,
Special Devices~-\ -ro ~OC?Jty Hall business hours are 8 a.m. - 4:30 p.m.
~&u...ot)\\~~, 2., ~ns.
Other DeviCes ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
TYPE OF WORK
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 irk which requires review and approval of plans.
&lhhA~~~8~1
~~ture Date
~'16 ~O/
Date
New Construction
Replacement .
Est. Comp. Date
. Building Permit #
Q()-I04:b
I~q. SO
.50
40 , DO Receipt #
390?~