HomeMy WebLinkAboutMechanical Permit 01-0106
~~
~ HEATIN~ APPLICATION I PERMIT
Date bP~~ I~..f-f) J Or PID# Z5-337-
33% WcbcCdur,J< (Jr.
Lot z" 7 Block I . Addition W IL{)S 3 J2!)
Owner'sName---fl Lck 1r- (J 010 Oc~ JIIdo-rf
Address :?3C1t;, Ii )~ ~-C{ri< fJ.rt'V()
Healing Contractor fuf!Js Irf~ 6Jf'J1 to r/'-- '/ietJ (j:Y't?@e,
Address ;3G;C;(') /JI. .~3 61AI'VtS'I//J!eylltJ1/. 55"33'1
Telephone # q~?-' #'90-0'?-~8 /ltfY1,'Ki:!-
Furnace Make & Model f1.ea f-{4J-G-{~ AIR CONDITIONER' UNITS CANNOT
---+,JIJ \;:of ENCROACH INTO SIDEYARD SETBACKS.
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
Site Address
Model Size
Conn. Load
Fuel-1JJ....{i
Supply Openings
Flue Size
Return Openings
Input 2.80fJo Output
Edr.
Cfm.---/{p.O
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Atterations
Replacement
TYPE OF WORK
Repair
Est. Cost $ ~ {J 11
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Est. Comp. Date
Building Permit #
New Construction
/IA /l j/t r h ~lrlJl if; /
- -/ .
Qj-QjO?,
.50
Receipt #
39tJJ I
TYPE OF STRUCTURE,
1. Pink - File
2. Green - City
3. Yellow - Contractor
Single Family ~
Two-Family
Multi-Family
Other
Commercial
Industrial
Public
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
$39.50
$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 Dermi~ number before build-
ing certificate of occupancy will be issued.
HEATCALCULATION& 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 MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447-9850
Fax: (952) 447-4245
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 all WO[~~EUires review and approval of plans.
APi1iic,t's Date
I ~ Z-Zz- Ot.
Building 0 ai's ignature Date
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA rlON
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
339&
u.JtJ~ (:;
DATE TIME
zl W () I Gf ; 5' CJ
:D(.A(" I~
vJ- -#!/..:4 :). ~ S-
0'.... I O~
o EX/GRAD/FILLING
o COMPLAINT
.~ FIREPLACE RI A
o FIREPLACE FINAL
~ GASLlNE AIR TST k
o F: P,. .
~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKt d LL FOR REINSPECTION BEFORE COVERING
Inspector: -3. \ Owner/Contr:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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\0 C-oV~ f
CALL 447-9850 FOR THNEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl