HomeMy WebLinkAboutHeating Permit 95-0086 � . i �� -�- �� ,¢ ,,.. , t. Pink - File
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� ���� (���1AKOTA STREET S.E. permi� No. � Singie Family Two-Family Multi-Family
PRIOR � �' MN 55372 '
'� Commercial Industrial Public Other
, ATION / PERMIT � "�.��"_
Date April 5, 1995 PID # �5' �33� 03,3�-� �OB VALUATION FEE
$0 -$1,000 2% of job value, min. $20.00
Site Address 3193 Vale Circle Southwest
Lot � Block � Addition ! $�,�� -$10,000 $20.00 for the first $1,000 pius $1.25 for each additional
$100.00 or fraction thereof to and including $10,000.
Owner's Name Tonv Jirik
$10,001 -$50,000 $132.50 for the first $10,000 plus $9.00 for each addi-
Address 3193 Vale Cirele sw tional $100.00 or fraction thereof, to and including
$50,000.
Heating Contractor Kleve Heating and Air Conditionin
Address 13075 Pioneer Trail, Eden Prairie, 55347 $50,001 andover $532.50 for the first $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
Telephone # _ 941-4211
The price of your heating permit includes one rough-in and one final inspection.
Furnace Make & Model Lennox TYPE OF SYSTEM Additional inspections will be billed at $25.00 each.
Warm Air Plants
Model Size G2043E-75 Gravity House Heating Test Record must be submitted with building nermit number before build-
Conn. Load Mechanical ing certificate of occupancy will be issued.
Air Conditioning xs .5- 6i 7 Tnn
Fuel Nat. Gas Flue Size Vent. System HEAT CALCUL CLOSED DUE TO nd return openings listed
HEATING OR POWER PLANT per room wfth C send floor plan with sup-
Supply Openings ply and return INACTIVITY 8/30/Ol �IONS, PAYMENT AND
Steam
Return Openings Hot Water APPLICATION: i LAKE, 4629 Dakota St.
Radiation S.E. Prior Lake, ._.. _. _
Input � 5, 000 Output 60 , 000
Special Devices
City Hall business hours are 8 a.m. - 4:30 p.m.
Edr.
Other Devices ALL WORK MUST BE INSPECTED (ROUGH-IN AND FlNAL) - CAL.L CITY HALL
�m. 800 on A/C 447-4230.
TYPE OF WORK I hereby apply for mechanical systems permit and I acknowledge that the information
Afterations Replacement '` New Construction above is complete and accurate; that the work will be in conformance with the ordi-
nances and codes of the ciry and wfth the state building/mechanical codes; that this form
Repair Est. Comp. Date J� " 5` 95 does not became a permh until signed by the BUILDING OFFICIAL; that the work wil! be
�._ in �rdance with the approved plart in the case of all work which requires review and
Est. Cost $�,� � Building Permit # app I oi pla
HEATING PERMIT FEE $ U � ��,.`_ ^/ r � — ��
STATE SURCHARGE $ .50 pplicanYs ignature // Date
T` -='
TOTAL PERMIT FEES $ , 5 Receipt # ��Z.3IZ
Bui g Official's Signature Date