HomeMy WebLinkAboutMechanical 99-0769
CITY OF PRIOR LAKE MC fir'; C,
16200 Eagle Creek Av. S.E. Permit No. 11- 7(;; 1
Prior Lake, MN 55372
HEAnNG APPLlCAnON I PERMIT
Date In -;2 ~ - fy PID#<::~-~2e, - 0/5. - 0
SR._ 1-7036 y:J1j,tMYP+f /~~d!br//1.
Lot 4- Block 2 Addition I Y I{ ,t; ,'~ II IV I .
Owner's Name . >>7 (' C( (/.:\ /1.1 G-2. () '".; q,cQ rJ E '
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Heating Contractor &vII {/~ Y~f k~11{ / (
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Address
Address
Telephone #
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. load
Fuel
Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
Other Devices
TYPE OF WORK
Alterations
Repair
, Replacement
_ Est. Comp. Date
~ Building Permit #
New Construction
Est. Colr,~
HEATING PERMIT FEE $
J9.So
STATE SURCHARGE $ .50
TOTAL PERMITF~r' 41;. rJd
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Receipt #
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TYPE OF STRUCTURE.
1. Pink '
2. Green
3. Yellow
- File
~O~lricti(;;':~:~
Single Family
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Two-Family
Multi-Family
Commercial Industrial Public Oth,er m " ",..~/,
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Fee chedule' . '.: ,;~~~:
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Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Rreplace
Residential, Additions & Alterations
, Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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Remember to add the State Surcharge on the bottom of this application. ' ,,:, ":';.'-".,;~f;t?~~'
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The price of your heating permit includes one rough~in and one final inspection/':,;>j'>~1{1~'
A_anal i_OIlS.-1I be billed al $35.00 each.. ':>~:':"t::]
House Heating Test Record must be submitted with,buildil19 J2mmit number before bUild-~,~,:;;;;
ing certificate of occupancy will be issued. . ',' ,':,li:t.t~::,::/X;;l:;E"
tlEAI CALCULATIONS REQUIRED with number of supply and return openings--liSt8dperf;t
room with CFM's per opening. New structures or additions send floor plan with supply ,:_\~>. I
and return locations shown. . HEAT lOSS CALCULATIONS, PAYMENTANb;:ci~-Yi~~:;:;~~~~;t-,~,
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200EAGlE':;';;::::';;:i',;:{--
CREEK AVE. S.E. PRIOR LAKE, MN 55372., ,?>:.:"i:~:'.'?i
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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
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \1.0"30
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
COMMENTS:
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DATE TIME
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o EXC/GRAD/FILLlNG
o LKSHOREnNETLAND
o COMPLAINT
~ 0 SEPTIC FINAL
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Inspector: Owner/Contr:
CALL 447-4~JR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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