HomeMy WebLinkAboutMechanical Permit 01-0112
~ CITY OF PRIOR LAKE
It(A\~ Me
u r.. ". co 16200 Eagle Creek Av. S.E. Perm~ No.
\ e ) Prior Lake, MN 55372
~ HEATING APPLICATION I PERMIT
'2- 23-01
5384-
Lot 0 Block 2.. Addition
8f2IA N
SAME"
Date
Site Address
Owner's Name
Address
Heating Contractor
Address
Telephone #
-!;"~,,,; Make & Model llt>ffr--AJ-'-~
Model Size ([\'lt1,t\ HI,!O .]j:.
Conn. Load
Fuel
f.;AS Flue Size <5/1
Supply Openings
Return Openings
Input
Edr.
Output
Cfm.
PID # .2.5 -CLIO -Q..l2- 0
MANOt2-. gOAD 6G:
LAK.6SlQ6 MA.NOg. 2rJD
NASI
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
A~erations
tx
Replacement
TYPE OF WORK
New Construction
Repair
Est. Comp. Date
Building Permit #
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
~-,,- Of
01,0/ /Z,
3Q.50
.50
40.00.- Receipt # 39037
~."
1. Pink - File
2. Green - City
3. Yellow - Contractor
TYPE OF STRUCTURE
Single Family
Commercial
k
,
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residentialt Heating & AC
Residentialt Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinq Dermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATION$. 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) 447-4245
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
caS;f all w.o~Uires review and approval of plans.
'~Ii~re
Date
Z,.23-0j
Date
CITY OF PRIOR LAKE
INSP2CTION ..OTICe
.:::- -:? 0 LJ.
ADDRESS ~ ...,) (I I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DA TE TIME
SCHEDULED ~~~4(
M~ ~, S:f;,
~,' d()
CONTR.
PERMIT NO. 0 (- II 2-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
.. FIREPLACE FINAL
~GASLlNE AIR TST
( !fJ lJ::!1.L
~
z,c;tt ~ ~ ~,l<
-~
f. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~l
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI