HomeMy WebLinkAboutMechanical 03-0348
-
DATE nME
CITY OF PRIOR LAKE .yl0
INSPECTION NOTICE SCHEDULED
ADDRESS lilt C Z +qScq
OWNER CONTR.
PHONE NO. PERMIT NO. :r'-:fqf'
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDA liON o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
- )
/ / ^<-r'
L/c~ .
r vi
rfU
I
9'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT "jPRK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: I If s - ],O-{Jj Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
"pP
(I. ':,
'"
... -..
BVftN~ yILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378 · 952-894-0005
Ors1at Test Report for Jobl 50/5
Address /~/&~ ~l'c?~~~4~ /;;?L.
Occupant ~~ ~ ~rCJ,,01..sCJA/
Date of Install 3/3 1/03
Type of HT. F/~ ' HW Space HT Unit HT
Other
Make
Model
Serial
Input
~^"#o y
4{,otI/'/ V ~3(;A - 07 (J
J1 I \ 5Y 0.,)../11 ~ #;1:3;;;1
~o /t:t:::O
\
Pilot Type HOT SURFACE IGNITOR
Pressure .3. <) C02 '5 I </
Input CFH ?G.) 02 'i.)'
StackTemp 3dY CO 0
Date Tested ~/ 3; /03
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician /r;{A/
1
;:.A
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
I. Pink File
2. Green City
3. Vellow Applicant
(Please type or print and sign at t ~~;,~_)
ADDRESS
to \ ~ lo S~~ iT1tt ~ Sf'.
LEGAL DESCRir nON (office use only)
LOT q BLOCK/o ADDITION ~~, ~ r;;t"
Date Rec'd
PERMIT NO.1J3 ""3'1 f
ZONING (office use)
1<1
PID ~~-187-0~/-(.)
OWNER c.. C.:> .....D
(Name) ~'-
(Address) ~
~hy'\~
(Phone) Q'5;J-L/<!7 ~ '43(
APPLICANT
(Name)
(Phone)
95) -<6'1<1- 000>
(Address)
. I
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical ~ 'Y'VS'/ 0 Radiation
~Air Conditioning U 0 Special Devices
aVent. System \ ~ ~c.c- ()2... -, 0 Other Devices
FIREPLACE MAKE AND MODEL :l... '"~
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
4 1'1.()O . 0-0 Building Pennit #
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~'11 9D
. .50
un ()12
"" .
lice Use Only)
Chis Application Becomes Your Building Permit When Approved
paid~ L/o,--
DateB r O:>b-3
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
ReceiQlIt'cr;J
By t2/J
0-