HomeMy WebLinkAboutMechanical Permit 01-0121
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CITY OF PRIOR LAKE Me
16200 Eagle CreekAv. S..E. Pemil No..
Priar Lake, MN 55372.
HEATING APPLICATION I PERMIT
~ I?JI\J . PlOt _2.5 -/40-
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Site Address (PfAYR r;;(~ .~
Lot 5 Block I Addition o"q~L.ANO e.eAOH (p m
Ow08"S Nallle .---t(i~ /h&",. ~
Addfess
Healing Conlradol ALL lED FIRESIDE dba FIRESIDE CORNER.
Addless 2700 N. FA..IRVI Elf I ROSEVILLE I MN 55it3
Telephone I 65 1 - 6:3 3 - 2. 5 6 1
FIREPLACE ~ Ileo-
6W'J1tD Maka & Model O~ .
Model 511.9_ q /J.YL
Alter aliens AeplaC9menl N1!W Construction
Repair EsL Comp. Date ).,./ o/IJI
Est. CosU 1100-<'>> BuicIing PelTllU 0 - 0097
HE^TING PERMlT FEE $ 39.50
STATE SURCHARGE t, .50
TOTALPERMITFEES $_ 40.00 Recefpl', 3qOS-/
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Dale
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Conn. load
Gtr
Rue Siz9
Fuel
Supply Openings
Aelum Op enmv.s
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Input
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OU1put 3'(.tvJ
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TYPE OF WORK
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TYPE OF SYSTEf.Il
Warm Air Plants
GraviCy
Mechanical
AX Condl\Kmlng
Venl System
HEA l1NG OR POWER PLANT
Steam
Hot Water
RadiaUon
Special Devices
Olhal 0 Bvice s
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TYPE OF STRUCTURE
I. rial . flit
1. (1Mb . Ot,
3. Y~DW' . o..nc.
Single Farnl1y
Commercial
MuIll-famly
Public O'her
Two-FBmily
lndustrlaJ
Fee Schedule
tndus1rial. Commercial & Multi-FemJlV
Res.denlial, HeaUng l AC
R esidenlial. Hea1inV Only
Residential. Gas Rrap1ace
Rasidentiat. Additions & Alte rations
ResldenliaL AC Only
, % of lob 00$1 (139.60 minimum)
$99.50
'64.50
$39.50
$39-50
$39.50
Remember to add the Slate Surchalge on the bottom of thls appficalion..
The price tJi your heating permil includes Olle rough-Ul and one final inspection.
AddilionallnspecliQt\S will be biled at 535.00 each..
House Heating Tesl Record musl be submiUad wCth buildino..RIIIIJl.oumllm. beloae buftd
ing certificale oi occupancy ,<<111 be issued.
I::l&ATCALCUlNlONS REQUIRED wiIh numbel oJ supply and return openings Ds'ed pi
room wi\h eFM's pel opening. New sIruc1wes 01 additKms .end (Ioor plan witb aupp1y
ami return locations shown. HEAT LOSS CALCULATIQNS. PAYMENT AND
APPllCAll0NS MAY BE MAllED 1U mE CITY OF PRIOR LAKE. 162.00 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
City Hall busbless hours are 8 B..m. - 4:.30 pm.
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AlL WORK MUST BE INSPEC . ~ (ROUGH-IN AND FINAl) · CALL ern HALL
447.-4130
1 hereby apply for a mechanical svslems permit and I acknowledge that 'he
inlormaHon abo'Ye is complete an.d accurate; that the work wUl bil in conlormancE:
with the ordlnances and codes of lhe en)' and wlth the $\618 bunding/mo~hanicE
codes: lha\ lhis rorm does not become a permll untl1 G1'lned by the BU1LD1Nt:
OFFfCIAl; that the work will be rn accordance with lha approved plan in 'he
caS~Of work w.~ hii1'C r8quires review and approval 01 plans.
'4f.Il, 1I~:.m ~cra
- l\l>PlleaTll) Jl~. - . 0.18
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BuDdina{()iifcars Signature Oall
CITY OF PRIOR LAKE
INSPECTIO..... NOTICE
SCHEDULED
DA TE TIME
~I /J,'SIJ
ADDRESS
{p 0 Y? ~u.J-:C R~~
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
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o ( - ~~~,.~
o EX/GRAD/FILLING
~ 0 COMPLAINT
~ FIREPLACE RI
~ ~ FIREPLACE FINAL
li GASLI.NE AIR TST
o F=I f'" I
COMMENTS:f[S) M-t~ ~~_ _I'
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o WORK SATISFACTORY, PROCEED
'j CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector: ; ~ i Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI