HomeMy WebLinkAboutMechanical 03-0349
r CITY OF PRIOR LAKE
~SPECTION NOTICE
SCHEDU(ED
ADDRESS
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DATE
TIME
L(-~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
J,3t.ff
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
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COMMENTS:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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r$ WORK SATISFACTORY, PROCEED
J,rtORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W L{ -1=O~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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BVftNSV'LLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.952.894.0005
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Orstat Test Report for Jobl) )! ....J
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Address_ <" i.,.' '" i '
OccUn!llftL lJ.,,-, ';, I / .1L,
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Date of 1ns1al1_ :.~ . d Y . ~l .::.
TYPe of Hr. WI\..)( _ HW_ _ $JIace Hr~
Other_
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UnitHT_
Make
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encu .-J ,'} :.." ~ "l. 1, -;;,.~ '" ". <J
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Input _ ../'" C~>:~)"--' ...)
Pilot Type _ HOT SURFACE IGNITOR
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Pressure - ~.> / .~) C02
Input eFH - --::> Q.. c~ 02_
Stack Temp :~. ;;) 0 (".) CO_
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CITY OF PRIOR LAKE jo
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:w El~icanl I PERMIT NO. 03"-3 L/ 1 I
6o~
"5\-.
Nt..-
ZONING (office use)
)50
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
IJd
PID
OWNER f\. f\ V \
(Name) I 'J \~~ 'tL L/\~'Y\
(Address)
APPLICANT
(Name)
(Address)
Burnsville Heating & AIr., Inc.
12481 Rhode Island Ave. So.
Sa.y~s~~~ 66376-1122
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(Phone) Cf5?- ?/14- 0005'
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ltJ..REPLACEMENT 0 AL TERA TIONS o..t--
FURNACE MAKE AND MODELeNY\J'()"f G tj 0 L<. .+r3 10 II - 07Q.UEL 1\/ · 1~
FLUE SIZE RETURN OPENINGS INPUT I 0 J avo OUTPUT frtf I
, .
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical ~ 0 Radiation Cannot Encroach into
~r Conditioning ~ J Lf 0 Special Devices Required Side Yard
OVent. System \ ~ 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL k~
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ 3, CflJD . 00
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
391~
$
$
$
.50
'10. 00
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372