HomeMy WebLinkAboutMech Permit 02-0699
0" "!(/U/i?!:.$J11() CITY OF PRIOR LAKE
~\, 16200 ERglR Creek Av. S.E. P':k No. 0 ;;l.-0<1q
~.. Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date t/4/IJJ- PID". ;),,5- ?3 ?fa- D 3 9-0
sn.Addr.~ LSd.J1 ~j,//b" .t4YtN::s e.t;. /J4J
lot q Block t{ Addition I iJ i ~(VyA.i) I Sf-
OWner's Name l)edrLL ~/QJt!.rs.(fh
Address ~
Heating Contractor
Address .
Telephone "
Furnace Make & Model
SEDGWI~l' HEATING & AIR CONDITIONJNG LL.C
8910 Wentworth Ave. So. .
Mir:lRiapglis, MN 55420
(~52) 881-9000
Model Size
TYPE OF SYSTEM
Warm Air Plants
GravllY
Mectlanlcal
Air Conditioning J/ ~~
Vent. System ..1j-br)
HEA liNG OR POWER PLANT
Steam
Hot Water
Radiation
Spec:lal Devices
Cc.r.n.load
Fuel
SuPPly Openings
Return Openings
Input.
Edr.
Flue Size
Output
Other Devices
Cfm.
TYPE OF WORK
Alterations
Replacement V"
Est. Comp. Date
. Building Permit ~
New Construction
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMfT FEES $
Jq.So
.50
i./tJ .Ob
Receipt ,
t(d-/73
I(PE OF STRUCTURE
1. lif~n Oly
J. Yell"" . ConIrlclor
Single Family
Commercial
Two-Family
Indulltrlal
Fee Schedule
Industrial. Commercial & Mulli-Family
Resldenlial. Healing & AC
Residential. Healing Only
Resldenlial, Gas Fireplace
Resldenlial. Additions & Allerallons
Resldenlial. AC Only
Public
Mulll-Famlly
Other
1 % of job cost ($39.60 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 healing permit Includes one rough-In and one Iinallnspection.
Additional Inspections will be liilled at $35.00 each.
House Healing Tesl Record must be submitted with building wmnl1 number before build-
ing certificate of occupancy wi!l be Issued.
HEAT CAlCUWLQNS RI;gUIRED 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 MAII.ED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAj(E, 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
Inlormatlon above Is complete and accurate; that the work wlfl be In 9onformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit unlit signed by the BUILDING
OFFldIAL; that the work will be In accordance with the approved plan In the
case of all work which requires review and approval of plans.
~;e
~-Id--o~
Date
CITY OF PRIOR LAKE
INSPECOON NOTICE
tJ-J'ItA
~ IJto
u
SCHEDULED
ADDRESS
l~d39
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
---i
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/I-Ib
. (
DATE TIME
~,' C50
;;)-b 71
A--/c--
,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
ORK SATISFACTORY, PROCEED
o RRECT ACTION AND PROCEED
o CORRECT WOR~\ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ':E,.u~ Owner/Contr:
CALL 447-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl