HomeMy WebLinkAboutMechanical 03-0401
....cITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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DATE TIME
SCHEDULED .
4-14
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CONTR.
PERMIT NO.
-r-411
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: IYf 4-l'1-6> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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BVRN:S ~.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378. 952-894-0005
.~ Test Report for JobI 5 D S ~
MJress 51, 'N! J nJ I 'f) '^ C'I { Cibj ~r Q ('V Ln ~
OccuP8lltD~ "'" n C h y I'~ ,( e h 1 eA/\
Da1eoflnstall , - ,- O~ .
Type of HT. F1A HW Space HT Unit HT
Other
Make L- V\ V\ 0 -.t
Model 6~o t/I-/V- 3'/:S - tJyO
Serial S <.602 L I rol ~ ~
Input r; 0 000
,
Pilot Type HOT SURFACE IGNITOR
Pressure _ ~..s- C02
Input CFH q O. iO 0 0 02
Stack Temp ~ I q .. CO
~ - ~7- O~
BURNSYILL/j HEATING & AIR CONDITIONING
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Date :rested
Company
Technician
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CITY OF PRIOR LAKE
..
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and si21l at bottom)
ADDRESS
96~ L :k1c16.n1 !2i ~ ctiL s z..--
~. ~~n ~!~y I PERMIT NO.O'2 - ~. /.//)}
3. Yellow Apphcant <.oJ ~ U
ZONING (office use)
fe/SO
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIu;?S ~()83-- f) 8~-l)
OWNER ('\." _ .
(Name) u~YY\ \ 5
(Address) ~
(~ rrs'~92-Y\
(Phone)
q5J - 441 -fo55cj'
APPLICANT
(Name)
(Phone)
~...;..,,)...ifIe Heating & Ale, Inc.
12481 Rhode Island Ave. So.
6flllhIVIW, ;~I; ~ ~~~ (City) (Zip Code)
(Contact Person) " ) LL G I Cz.... '\ r -.. (Phone) Cf5'J. - 07 0 ~ 0 005
APPLICANT SIGNATURE Mil (j . ~~ DATE t.-{ / ~ /03
u V i I
APPLICANT PLEA~E COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT D:\L TERA TIONS
FURNACE MAKE AND MODEL '-~ ^ -oy Gto CU..J\" 0 ~b?' l11 0 FUEL N a:}- qci")
FLUE SIZE RETURN OPENINGS INPUT q 0 I 07rD OUTPUr=&~, q lD
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address)
DWann Air Plants
DGravity
o Mechanical
~ir Conditioning
'JVent. System
ij~A\~~ 01'-\
\')f>(u.. ~N
;)- -\ v
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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
J,Cl. ~
I . .50
Y=D . 00
pai'f$ L( () J OU
Date LI ;- L/ -() 3
Retll!oL/1
B' 1
y~
V
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