HomeMy WebLinkAboutMech Permit 02-0033
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CITY OF PRIOR LAKE '1..2-
16200 Eagle Creek Av. S.E. Pefmil No. () Z "'0 ()/..1
Prior Lake, MN 55372
HEATING APPL1CATlON I PERMIT
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Owner's Name VV\.\. c ~\
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Address
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McGlJlRE & SONS
Heating Contractor 50S '2tll !\'J8RIJ~ SCllth
Address Hopkms, MN 55343
Telephone # q~-q~\. qeo,<a
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I"",."..,,~ Mal~a~~1 ~r '--'\ ,"'" TYPE OF SYSTEM
. Wann Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
Model Size
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Conn. wad
Fuel
Flue Size
Supply Openings
Return Openings
HQnNGORPOWERPUUIT
Steam
Hal Water
Radiation
Special Devices
11")
01'
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01'
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Input Omput
Edr.
Other Devices
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TYPE OF WORK
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Alterations
Replacement
New Construc1ion
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Est Comp. Date
00
QM Building Permit #
Repair
Est. Cost $
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-HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
4-//38
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TYPE OF STRUCTURE
Single Family
Commercial
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Two-Family
in dus1rial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residenlial, AC Only
I. Pint.
2.. GrerD
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- City
Coulracl
Public
Multi-Family
Other
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the Slale Surcharge on the bottom 01 this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 eacl1.
House Heating Test Record must be submilted wilh buildinq Dermit, number before b.>i
ing certifica1e of occupal1cy wiIJ be issued.
!!fAT CALCULATIONS .REQUIRED with number of supply and relum openings listed
room with CFM's per opening. New struclures or additions send noor plan with supplj
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall blJsiness hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CALL CJTY HALL
447-4230
J hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete ~nd accurate; that the work will be in conformanl
with the ordinances and codes of the city and with the state buHding/mechan~
codes; that this form does not become a permi1 until signed by the BUllDI!"
ICIAl; that the work will be in accordance with the approved plan in thE
of all "'_'('1 'ch requires review and approval of plans.
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Date
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
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tJz. - (JO'3 5'
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
~ FIREPLACE FINAL
Jlt GASLlNE AIR TST
o ~G;n-
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"RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR!., CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ .1. /1.1.1 JJ Owner/Contr:
CALL 447-9S;;;;;:rTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!