HomeMy WebLinkAboutMech Permit 02-0735
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CITY OF PR.IOR LAKE Me /'J 735
16200 Eagle Creek Av. S.E. Permit NOV~-
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date C:?/.s/O~ PID#a5-~-Otl-'-O
Site Address. /SS ~.t; O./YIecra..'~ J I
Lot Block Addition c;;{; A;;I-; 8"
."- .-
OWner's Name BOb ~ ~a,A./ Yr:;?LAi-e_c...
Address I ~. c;: d ~ ~ f) rh e8 4- f,/\o 7!
Heating Contractor _ C e j/)T Y'Cc. I /l e H r (,- d:
Address "? i O~ 1.1/4 c:.l1";:..5fio/1/ At/..
Telephone # Cr ~ ~ ....q l.f I ~-; D if L./
Replacement New Construction
Est. Comp_ Date e:, /, '-I I 0 ~
I '
Est. Cost $ i q DO,..O OBuilding Permit #
HEATING PERMI; FEE $ :!..9~6t:!
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $3D..~. Receipt #
Furnace Make & Model
Model Size
Conn. Load
Fuel
Supply Openings
Return Openings
Input
Edr. ,
Cfm.,
Alterations
Repair
Ale
~ i
~~
Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning X
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Output
Other Devices
TYPE OF WORK
><
TYPE OF STRUCTURE
I. Pink
2. GreeD
3. Yellow
- File
City
CODtractor
Single Family
Commercial
x
1
Multi-Family
Other
Two-Family
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
$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 $35,00 each.
House Heating Test Record must be submitted with buildinQ permit number before build-
ing certificate of occupancy will be issued,
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening, New structures or additions send floor plan with supply
and return locations shown, HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372,
City Hall business hours are 8 a.m, - 4:30 p,m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans,
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--;:- ./~~p~t f~S Signalu", " !Jale ,- ~
~' h-!1~O~
Build' 0 s Signature Date
DATE TIME
CITY OF PRIOR LAm; ~ ~2$.O1
INSPECTION NOTICE SCHEDULED I'~
ADDRESS J 55~ S- C)~ Tr
OWNER CONTR.
PHONE NO. PERMIT NO. 2 -73)'
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION ,pECH FINAL ~..11:C-
COMMENTS:
./
~ORK SATISFACTORY, PROCEED
o CORR~E AND PROCEED
o CORR CT I CALL FOR REINSPECTION BEFORE COVERING
Inspector: ') Owner/Contr:
\L.y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl