HomeMy WebLinkAboutMech Permit 02-0942
CITY OF PRIOR LAKE OZ ..0942-
MC ~
.. 16200 Eagle Creek Av. S.E. Permit No. 1TIP'V'0\l!X9
Prior Lake, MN 55372
TYPE OF STRUCTURE
1. Pink - File
2. Green - City
3. Yellow - Contractor
HEATING APPLICATION I PERMIT
PID#. ZS-/4/- 004--0
~~\:>
N02-7HN~OlJ
--::y 'oJ .f'o '" T
Date
~ - Z- 2-. -o'Z-
Site Address
Jk~71
N 0 ,'L"\ l't (....) 00 D
Lot Block Addition
Owner's Name ~ E:G2....t'.I An.'"
Address J (.., 'S 1- J N C (L \' ~ ~ '"" to, \:> ~h ,..... ~
Heating Contractor 12..f-~ I\:>ES~\'.......L \-\ f.,.........,...s~ ~ A,R-
Address I ~ I~ ~, Lf I $' .,$.- cSv"'''1O;;. A
Telephone # 6t'2...-7z..y -tgq<1
Furnace Make & Model \2.. v v ~
Model Size t> ( ,e IL. \ 00 E.tI\ ('f\. c:..L
Conn. Load
Fuel j'J1'\'J . Gt"I <;;;. Flue Size
Supply Openings
Return Openings
Input -, O~OCO Output BUr 000
Edr.
Cfm.
TYPE OF SYSTEM
Warm Air Plants V
Gravity
Mechanical
Air Conditioning .
Vent. System
Single Family
Commercial
v
. Two-Family
Multi-Family
Other
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50 PLEASE NOTE:
$39.50Air Conditioner Units Cannot
$39.50Encroach Into Required Side-
$39.50Yard Setbacks.
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. permit number before build-
~ ~\J uO 2- "to"- ing certificate of occupancy will be issued.
(.II'; f"\'\.-b2-. <<1 is '" l.-
HEAT CALCULATIONS REQUIREo. 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.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation .
Special Devices
Other Devices
Alterations
TYPE OF WORK
Replacement ~ew Construction
Repair
Est. Comp. Date
~ ?-()'1~7
~
Est. Cost $ L.f., ~ I - 00 Building Permit #
HEATING PERMIT FEE $ -'ter -:. eo ::fl50
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $~ Receipt #
4tJ. 00
4--Z5~O
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
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; th~the work will be in a cordance with the approved plan in the
case of all w which requi s rev. and approval of plans.
1
. ~. -, - 2..2:02
!fpplic Date
7'::' ~~Z-
Date
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~-l-f53 :<~20
~~(L~ M
ADDRESS J r;~ II
OWNER
CONTR.
PHONE NO.
2.-1t-l--
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
~~LUMBING FINAL
~ECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ G?f~~ AIR TST
COMMENTS:
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~ iRK., CALL F~EINSPECTION BEFORE COVERING
Inspector:' ) Owner/Contr:
CAL 447-~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliQTl