HomeMy WebLinkAboutMechanical 03-0197
cn=v OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I J{)JO
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED .
6~c:?" ~_ C'
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(-V,....U-r /J\. J
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I
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L.-l~S<
()YSa. 'f Ye C... 'C ~ C.
DATE nME
]-/7~~
1c
3- /Cf rJ
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,.--.. y
/-// ~
I (~
Iif'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~LL FOR REINSPECTION BEFORE COVERING
Inspector: Y V'- .>...... (1-1; '}- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
UtSNOTl
HOUSE HEATING TEST
ADDRESS /1:;110 'fEENOkkST/J!1Jl- /}/,;'drJ/ttfAPT.
OCCUPANT .OWNER
HEAT LOSS .DATE HTG. INST.
SOLO BY
Electrical Work By
TYPE OF HEAT
GA
)(
_ FA. _HW
MAKE
Model
. GAS DESIGN
rArr, r:.r "
;!'Cil} 0 'Iv
'1)"0:11+- J-j/J8'(j)
S".ial
INPUT
CONTROLS
. THERMOSTAT
Valve _
~:':: So";...
'."an Settl,,~
~ilat Type. }-tor 71/1' F /k.-I!..
Pi lot Make
Pilot Model
Pilot Timing
L.W. Cut Off .
_ Pressure 3e 4" ,/ Percent CO2
Input CFH 96.(Jf!oI Percent O2
Stack Temp. / J..q!l- Percent CO
~orm 235
Heat Plug _
BfF
RECORD
FLOOR
.CITY
SUBURB
. STEAM
INSTALLED BY
Gas Line By
_ SPACE HTR.
~b)l.A
f1115 C If ,t-/v /t.- A L
.UNIT HTR.
OTHER
CONVERSION
MAKE OF BURNER
Madel
Max. BTU Rating
MAKE OF FURNACE CA-I'f' (5 r
Model r-! & ; A- 0 9()
/ j/
Vent Size U
_ KIND OF LINER A Vr)VT SIZEJ11
"'
_ Regulafor
Size~rY!J." Number. r;;A-C
q O?CbO
NONF
_ Draft Hood
. Fi Iters
. Chimney Location Inside
_ Chimney Construction
Ouhide
_ Smoke Bomb .
_ Draft _
/ - Door Pressure
b, 7 _ Date Tested _
~ Company Testing
/ - _ Name of Tester _
Wiring
Test Tag
Lighting Inst.
l(ql!lJl _
. 1/ /) iv1- fl1.KC ~IL:.;?-A t--
iiJ():~fl ~JJ~
,
31'1
,
CITY OF PRIOR LAKE . ~ ~ @ ~ %~e ~eJ)1
HEATING/AIR CONDITIONINGIFIREPLACE PERM_'ll FEB 212003 ~
1. Pink File
2. Green City
3. Yellow Applicant
ease type or print and sign at bottom)
ADDRESS
l~nnn r.rppn n~k~ ~r~;1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
T~m ~ V~ron ~~ooo~
~ - .-
(Phone)
(Address) 1 "'i () () () r- r<:> <:> n ("\:;:>1,.. C! 'T'... '" ~ ,
APPLICANT
(Name) Ron I s Mechanical. Tnc.
(Phone)
Ql:\?_LlLll:\_Al:\Al:\
(Contact Person) Linda
APPLICANT SIGNATURE ~~ ~ ~ Jv"V\f1 Jt\.rl.uv
rv
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION JdXI REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL "'''',::,.!"i-e.!" SSCTA090 FUEL r:G
FLUE SIZE RETURN OPENINGS INPUT 90,000 OUTPUT
(Address) 12010 Old Brick Yard Road
(Address)
Shakooee
(City)
(Phone)
DATE
TYPE OF SYSTEM
OWarm Air Plants
OGravity
xlKl Mechanical
OAir Conditioning
OVent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $ 'Lrx:o
Building Permit # tl3- 0/9 '1
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,2.,9 ,q)
.50
40.00
(.office Use Only)
'his Application Becomes Your Building Permit When Approved
Paid 4-0. 0 ()
DatZ., ~/., 03
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
IR.v
PERlVlil l'O'().3-0/91
ZONING (office use)
PID
g€i2 117 1931
MN l'il'i17Q
(Zip Code)
Ql'i?-44l'i_Al'iA"'i
2-20-03
72,000
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
".
$39.50
$39.50
$39.50
Receipt NoA.- rl
~39/ /
By J.
u