HomeMy WebLinkAboutMechanical 03-0400
DATE TIME
l' 'CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.-
4-1ct'
ADDRESS
/'-(170 ~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?-l.1f/V
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
.Al' MECH FINALrt(/l/i1ttu2D
IT/V
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COMMENTS:
CD [aul IL
~
W..f~
14-w/s. ;'_.
./
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1'r
1(./1 0.
o WORK SATISFACTORY, PROCEED
rt'CORRECT ACTION AND PROCEED
o CORRE~T:~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: Y Y U" '1- (t -113 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
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BVftN~.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
I,}.
Ors1at Test Report for Jobl 50S'S-
Address /~30 ~<WL4 ..frI:t;:;: de,l< Lr~ .
Occupant. ~~"'.e:zAG n I
Da1e of In81a11 .y / '7 k.3 .
'. r
Type of HT. F/A X HW Space HT Unit HT
OIher
Male L"" N' 0)(1
Model .G~#)/-/3r"~4 -o/f}-03--
Serial 580;;pn ocJ.~f /e-I L<
Input 7o,d!:r::r'
Pilot Type HOT SURFACE IGNITOR
3.s/'
Pressure , C02
Input CFH 7() 02
S1ackTemp .3)5" . CO
Date Tested Y h ~ 3
/ . ,
Company BUflNSVILLE HEATING & AIR CONDITIONING
Technician X-e4
/
5. i.,/
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~ ~!~, I PERMIT NO. /')~- JW'
3. Yellow Apphcant U..:J ~(..
(Please type or print and si~ at bottom)
ADDRESS
14330 S~-{'e.
~.
Nt-
ZONING (office use)
PasiJ
LEGAL DESCRJ..t'uON (office use only)
OWNER
(Name)
P W (Le Uie-
~
PIod5-{;)15 - 0 ~7'/~,Q
(Phone) qtJ,l. - Lfcr ~ - / rxr&
LOT
BLOCK ADDITION
(Address)
APPLICANT
(Name)
Durn~r~'ifIe Ileating Ii Ale, InG.
12481 Rhode Island Ave. So.
~dVd~W. MN ~~5)II2% (City) _ (Zip Code)
(Contact Person) JU.L\~ (Phone) 95)- ~L./-OD05
APPLICANT SIGNATURE ~. .\.d Nt) I ]) nY\ DATE
1\.PPLICANT ~LEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT D AL TERA TIONS M
FURNACE MAKE AND MODEL l.UJMX GlPOLLHV3foA-Q'10 FUEL M . 'Cf~
FLUE SIZE RETURN OPENINGS INPUT "1it{J7JD OUTPUT (pC{; 0lJ7)
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(Address)
DWarm Air Plants
DGravity
~Mechanical
Air Conditioning
Dent. System
LeJI),wy.. .
\)\\~~~N
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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
$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
$
$
$
3tt,5v
.50
'-to t (JJ)
lice Use Only)
Building Official
Date
-.
paid$Ljt>/u0'
Date 'I-4~3
ReceiPl/~t(q
By ,
~
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