HomeMy WebLinkAboutMechanical Permit 01-0318
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permi
Prior Lake, MN 55372
HEATING APPLICATION I PERMI
Date It -\ 2. -0 \ PIO # :;} 5 " ~ l/1 ' ooC:,-0
SneAddress 40'"1 \ \-\um~ ~\~d q~. \J. 1:::.
Lot ~ Block \ Addition , fZ~()Jj 44 ()J ~ Y'd
Owner's Name ~ r ch()fCt t3v res A-'
Address
Heating Contractor \3~y (\,b V\ \ \t.. \.-\ QD. -h"Y\aA c4: ~ \c-
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Address \ ~Ll~ \ 1Lhcy{ ~ \~f'Q _ ~,
Telephone # q~-'iqlf-oaJ5
Furnace Make & Model
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SI: I tlACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Model Size
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
Alterations
TYPE OF WORK . .,'
AI f\ 9<~ro.(lOGA I HlJt'Y11 dl fu..r
Replacement X ~ew Construction
..c'
Repair
Est. Comp. Date
Est. Cost $ 3DOD.O(.') . Building Permit #
HEATING PERMIT FEE $ .~9. t>U
SlATE SURCHARGE $ .50
TOTALPERMITFEES $, 1-/0.00 Receipt # 3-~13
TYPE OF STRUCTURE,
1. Pink File
2. Green City
3. Yellow Contractor
Single Family X
Commercial
Two-Family
Industrial
Public
Multi-Family
Other,
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
c-r39.5~
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with building permit numbei befoie build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED, 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 MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK UII~T DI: IN~DI:t'Tl:n lanll~I.UN ANn I:If\lAL) _ CALL CITY HALL
CLOSED DUE TO
i I hereby a~ I acknowledge that the
,information INACTIVITY 1/1/03 ork will be in conformance
with the ore ~ state building/mechanical
codes; that .' signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all worklVlhich requires review and approval of plans.
7-4245
~/d2-() /
Date
Cj///}/O/
( ;,.oate .'
A\:1p]icanfs Signature
(]U
Building Offical's Si~ture