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Mechanical 03-0347
.#> t~..,'" ,,;0 r BlJRNSVILLE IIIlating & Air Conditioning, L.L.C. 12481 Rhode Island Ave S, Savage, MN 55378.952.894.0005 ()3-31/7 Ors1at Test Report for Jobl 9)/ 7 ~ Address 57.3 ~ G~AJtV6Oa"~ . Ci1y ~4/~ ~4:. Occupant-~ ~~~ Date of Ins1al1..::-l/ :i 7 / A.3 , I Type of HT. F/A X HW. 'K _ Space HT Unit HT , I . Other Make /..,.,.../ A/ ox Model L7ML<.#'V- 3/,.1} - <>?a -o~ SeriaJ 5<jo:;lt~ o(,-4/'c;lI/JJ Input 76,0;:)0 Pilot Type HOT SURFACE IGNITOR Pressure 3 .)" ,C02 ~. ~( Input CFH 70 02 ~ tf 'S1ackTemp -1d-Y' CO () Date Tested 3/#1 7 /~:3 , Company BURNSVILLE HEATING & AIR CONDITIONING Technician ~/ 1 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 5731.- L..f->c!ev vvtJrJcJ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 511(J / Ole Ft/.o11;/r d , / DL /' ( f Q5c --' DATE TIME Lt--II 1y! j--SLf7 ~ ./ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o A-L-v -1 ,'-r , I ' I I. UlL ---- /-://1 , ,~ 'WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: YVP L-(- J 1-tf'?,Owner/contr: CALL 447.98~O FOR. THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTI CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~~:n ~~;y I PERMIT NO. /}3 .- .~:j 1/71 J. Yellow Applicant L-., (Please type or print and sign at bottom) ADDRESS S1 '7 ./ '- ~/' CcMv L'U LSd <1(. (\j'~ ZONING (office use) v~ {{ D LEGAL,DESCRIPTION (office use only) ~"~' j LOT4BLOCK <YADDITION (~LJ,-n q. ,p-r PID,-:l.7 ~ J I L/- () I L( -< ~~ OWNER (Name) -rnckcl ~s f\CGL'0 (Phone) L17d-L/O,}---9 Sod5 (Address) L::: ,.. .' -----:-:>--C1 ..'" ~ APPLICANT 9.. ...c.::::k{.... .....r1ft.. ..,......"4; '0: .00' ."'5 '- '. , '; .~.^:;::>, ........ '., ..'..', .... ..'. ...:' ...'.'.. ... , BUfl18'iflic' H:.C::fls'~'~: {Address) " 1~48,} RhodeJsland;Ave. SO. . :,' .' ,01"''1''<1''''''. Mri~5~10 1.122 :'~;t2Z~::b~ift~ ~. ~~TE . .*;;t~;_:~~~\~~::~~~~;-'~;~ .-"-:" . >~,.,' _, i-'<:': ;' :~, ';i:_ ,'::, .,;.;:-~~{~;,!,';~~~c*t~'i~I'~::"~;;;~'i:/[,~~ . :,,::~>~).,: , .,rtI~.ANT);>.LEA~~ '~?,~Litj;E!B~~Q\y"- '. ".;' :/: ,......;~_, ~,.:.~; i;: Industrial, Commercial & Multi-Family FEE SCHEDULE . ,1 ro of job cost Residential, Gas Fir~place $39.50minimum $99.50 $64.50 Residential"Adclitions& Alterations Residential, ACOl1ly< Residential, Heating/&NC(New Construction) Residential, Heati'ngOnly (New Construction) ____ . r:r, 0'0 EstimatedCost $.-:-) .~ l)iJ I .... .f. ~ "'~ ;J ;,:;~:~ ':. ":'$ ',',:.. I',cd.:.r:')" ,.....7~".' " /' <,-'.'~ ~.n:l~:::,;~- ~.~,~.-.,.:L,.("''C/ ,. ' ';-:;~:;:'::." ,- -~ :,,'.',. ." . . HEArING PERMITFEE: .......... :..s:r~tE.. SJJRqHARG~ . ~: . 'irrotAL PER~lIJ:' FEE. -' ::':i, . -;';1~~i~),:~t~;f_::.:io'~,>~:-,:;~ 1 -, ":, ;, _, ~ :T' -', . ,is Application Becomes Your Building Permit When Approved Paid JlL(u,'-- /'J "-'0. ...9.... . . . .-~ -,-....... ...;;y (/' ... .' Receipt No. . ~~ ?/L/O':;7'''O ,BYC.. ,J.. Date . Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245