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\ .
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( \ \ r-l~ f\ \ / \
V\O~ )V ~ =t \ "--f/
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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$':"~<",-t,
--City !~,j;
,j";"
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HW
Space HT Unit HT
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Pilot Type HOT SURFACE IGNITOR
Pressure -~: ---
Input CFH
Stack Temp
Date Tested
Company
C02
02
CO
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BURNSVILLE HEATING & AIR CONDITIONING
Technician
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3. ~. Of;
~. ~i~~n ~:~y I PERMIT NO. 00. 009/
3. Yellow Applicant (),
(Please type or print and siltn at bottom)
ADDRESS
/5/70
p:- ~ ~ ) fU..),h'1 )Jto (e-{ /;.
s
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~~ OpJev
~'~p -
.f1,A C,{ f1
(Phone) tj'!; d If V 7 j (~/12.
(Address)
APPLICANT
(Name)
(Phone) q:; d- ~:C:j Lj CJCJO r--
BURNSVILLE HEATING & Ale INr.
3451 W. Bumsville Parkway
SlIitA 1?O
r" Burf$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