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HomeMy WebLinkAboutHeating 08-0091 DATE TIME CITY OF PRIOR LAKE ~/'Zl( )08 INSPECTION NOTICE SCHEDULED ADDRESS Jt;/'lo fiutr-~ ~~ I- j OWNER CONTR. PHONE NO. PERMIT NO. S -00'1 f o FOOTING o PLUMBING RI o EX/GRAD/FILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL o FINAL kPLUMBING FINAL o GAS LINE AIR TST o SITE INSPECTION MECH FINAL 0 COMMENTS: 1\ . \"\ ' J r ( \ \ r-l~ f\ \ / \ V\O~ )V ~ =t \ "--f/ ( " r i.. WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRE~:K, CALL FOR REINSPECTION BEFORE COVERING Inspector: .. /1 'J Owner/Contr: CALL 'i7~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. /" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl ,<-,<tl;~;;'" BURNSVILLE Heating & Air Conditioning, L.L.C. 12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005 Ors1at Test Report for JoW ~ake ~i:-: ~odel S .31 ( <""i en, ;:J I' 'I Input ~ Address "\ ; \ Occupant I, Date of Install - t Type of HT. F/A ... -Other I - '6r$':"~<",-t, --City !~,j; ,j";" 'J I (-...... HW Space HT Unit HT " ! i ""') \..) c> vt , I (/- I~,:? ,tr1 _ I '. r, ' ') Pilot Type HOT SURFACE IGNITOR Pressure -~: --- Input CFH Stack Temp Date Tested Company C02 02 CO ...( BURNSVILLE HEATING & AIR CONDITIONING Technician CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 3. ~. Of; ~. ~i~~n ~:~y I PERMIT NO. 00. 009/ 3. Yellow Applicant (), (Please type or print and siltn at bottom) ADDRESS /5/70 p:- ~ ~ ) fU..),h'1 )Jto (e-{ /;. s ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) ~~ OpJev ~'~p - .f1,A C,{ f1 (Phone) tj'!; d If V 7 j (~/12. (Address) APPLICANT (Name) (Phone) q:; d- ~:C:j Lj CJCJO r-- BURNSVILLE HEATING & Ale INr. 3451 W. Bumsville Parkway SlIitA 1?O r" Burf$iJftfe;sMN 55337 (Contact Person) 2:5/A. ~~ r. APPLICANT SIGNATURE ..~:f~ (Address) c~~~ (City) (Zip Code) (Phone) qJ' )-i~; $I'l.'JcJC) 5~ DATE d _. d-I-O?' APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION ~EPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL VtJ Y' Ie ? C!. ell .).. Ci <f- () FUEL /U c;)4J~ FLUE SIZE RETURN OPENINGS _ INPUT 9J ttd OUTPUT 7S-~O TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants o Gravity j(] Mechanical ~Air Conditioning JVent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. Fireplaces with Box Additions or Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64,50 Residential, AC Only $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ H.5b .50 50.00 Buildine: Official Date Paid SQOO Dat:.s. (" () 8 R~O t. o 53/00 (Office Use Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372