HomeMy WebLinkAboutMech Permit 02-0498
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',,-- ./J HEATING APPLICATION / PERMIT
Date S- 4. -.0 :z.... PID #
/~ 9~o tv ,'//04..> ~a--ne
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
02-0446
TYPE OF STRUCTURE
I. Pink
2, GceeD
}, Yellow
Ftl..
Cll)'
ConLIllClor
Single Family
Commerdal
><
Two-Family,
Ifloostrial
, Public
Multi-Family
Other
S ~e Address
Fee Schedule
Address
industrial, Commercial & MIJlti-Family
~"'. .-I / _ f..,- / Residential, Heating & AC
/ (Jq ct IJ~ nne C/ u
_ -1 Residential, Heating Only
/ & 9 ~o t<J 1'1/04) .J.. a n e. Residential, Gas Fi replace
/) . ./ . J II' -I' fA" r , 'rAl,-, Residential, Additions & Alterations
Heating Contractor [/ (,JJ;J. . rw ea., ntj. . r- --..)(?n) iCt>J ~, . R 'd t' I AC 0 I
, ) /J ...} es. en la 0 n y
Address / c:2 9/.2.. U4? '..fa 'f'~/ L't!/ u {'- 1- r-t-~ I J' nt.t Ic-;, ,~e e m,J
, ."
9 S- .,.2 - .y tJ.3 - / // i) Remember to add the State Surcharge on the bottom of this application.
Bklcl<
Addition
1% of job cost {$39.5C1 minimum)
$99.50
$64.Sil
$39,Sil
$39.50
$39.Sil
Lot
Owner's Name
Telephone 1#
Fuel Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Aol_ ,...__.....~:__:__ /t... ..
I"\U VUUUIIIUUIII!tI varf',er
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radialion
Spedal Devices
.3lr,i~o~J/
The price of your heating permit includes one rough-in and one ffnal inspection,
Additional inspections wi II be billed at $35.00 aach_
House Haating Test Record musl be submUted with buHdinq pennil number before build-
i ng certificate of occupancy wiii be issued.
Furnace Make & Model
Model Size
Conn. load
Supply Openings
Re1urn Openings
Input OUlput
Edr.
tiEAT CALCUlATIONS REQUIRED with numt>er of supply and return openings listed pet'
room with CFM's per opening. New structures or additions send noor 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. BE PRlOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
01 her Devices
ALL WORK MUST BE INSPECTED (ROUGH-JN AND FINAL) - CALL CITY HALL
447-98.50
elm.
TYPE OF WORK
Est. Cost $ _ / J? /s. 00,
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit It
J 9. S; 0
.50
"'/ D. 07L- Receipt #
(j ,?---o 498
I hereby apply lor a meC~lan[cal systems permit and I acknowledge that the
inlormalion above is complete and accurate; thai the work will be in conformance
with the ordinances and codes of the city and wifh 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 pian in the
case of all work which requires review and approval of plans,
C?~
Applic
~- - " - D 2.-
Date
A~erations
f1eplacement
^
New Conslruction
Repair
Est. Comp. Date ,
420/ ()
~-- 8 -02-
Date
DATE
TIME ~
-I ~ I ~
,ICE
.to. 'j a,. ~
SCHEDULED ~ -0-- 7 ~
...LJDRESS
/ t., Cj '-/0
L//,d~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
;:J.-L/qy
o FOOTING
o FOUNDATIO~
o FRAMING '.1\
o INSULA TIO ,~
FINAL
~ SITE INSPEC N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
A-/U
I
()I fr4-Il
--....
,.
'fh/J
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 1J:K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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