HomeMy WebLinkAboutMech Permit 02-0941
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. f2..d - C(ti/
Prior Lake, MN 55372
Date
Site Address
Lot
Conn. Load
Fuel ~~ ~ Flue Size
Supply Openings
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
/"
V
Return Openings
Input
Edr.
Output
J?:; Je,pr
{3~
Other Devices
Cfm.
TYPE OF WORK
Alterations
Replacement
New Construction
~- J -OJ-
Repair Est. Comp. Date
Est. Cost $ j5{PS . r:r: Building Permit # .
HEATING PERMIT FEE $ l~ q . €()
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
00. CO
Receipt #
/j;}~ 9)----
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
/'
Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REOUIRED 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
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 t . form does not become a permit until signed by the BUILDING
OFFICIAL; t the work will b 'n ccordance with the approved plan in the
case of al ark which requi s iew and approval of plans.
'7-Zb ~/!J--
Date
R- /--o;J--
Date
.-;i.;.--
DATE TIME
CITY OF :;"'RIOR LAKE
INSPECTiON NOTICE SCHEDULED <8 - B -O~ .LJ ~ ~O
ADDRESS /~7 Cas!- 9Je-
OWNER CONTR.
PHONE NO.
PERMIT NO. fl A4\
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH ~L
COMMENTS: A-C7'~
o EXlGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
;
~RK SATISFACTORY, PROCEED
o CORRECT ACTlO~ NO PROCEED
o CORRE~ ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~- {1))Jf OwnerfContr:
l
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYl
lNSNOTl
-----