HomeMy WebLinkAboutMechanical Permit 01-0337
TYPE OF WORK
Alterations Replacement
Repair _ Est. Comp. Date -----IlA
Est. Cost $ _ Building Permit #
HEATING PERMIT FEE $ 89-~
STATE SURCHARGE $ .50 '
TOTAL PERMIT FEES $ LfO ,eft} Receipt # 39 2> g S-
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with 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 plan in the
case of al rk which r uires review and approval of plans.
Owner's Name
Address -
Heating Contra
Address -
Telephone # _
Furnace Make
Model Size "
-
Conn. Load
Fuel ~Flue Size
Supply Openings
Return Openings
Input .500Cb Output
Edr.
Cfm.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
Other Devices
City Hall 4:30 p.m
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) .
Phone: (952) 447-9850 (952) 447-4245
Fax:
CALL CITY HALL
business hours are 8 a.m.
HEAT CAL LATIONS 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.
heating permit rough-in and one
inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
building
permit number before build-
~Qt(, AIR CONDITIONER' UNITS CANNOT
;if ENCROACH INTO SIDEYARD SETBACKS,
The price of your
Additional
Lot
Site Address
Date
Block
HEATI~G APPLICATION
,h
includes one
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
. Residential, Gas Fireplace
-e S; ~ A Residential, Additions & Alterations
.l6Ie Residential, AC Only
jlJ1/1/.
Remember to add the State Surcharge on the bottom of this application
Multi-Family
Other
Single Family
Commercial
Fee Schedule
Industrial
final inspection.
1 % of job cost
$99.50
$64.50
$39.50
$39.50
$39.50
Public
($39.50 minimum)
I
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake. MN 55372
PERMIT
31
t./
Two-Family
TYPE OF STRUCTURE
1.
2.
3.
Pink
Green
Yellow
File
City
Contractor
DATE TIME
CITY OF PRtOR LAKE
INSP~CTION NOTICE
SCHEDULED
..$2'1. tJ I 2.! 3<)
ADDRESS
/4438 W,qTEJe..S~
OWNER
CONTR.
PHONE NO.
(J/-033]
PERMIT NO.
COMMENTS:
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/IVSIVOT/