HomeMy WebLinkAboutMechanical 03-0429
DATE TIME
. CITY OF PRIOR LAKE
. INSPECTION NOTICE
SCHEDULED
4-LS
ADDRESS
C 7 &-:3 &MJu.,
S".-r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:3-4;),,/1
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Pt/YJ1AU / A-L
I
C)U!L
f/f/
I I~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: V f Lt - ')... ':)....fJ3, 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~ .,I"LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode lsland Ave S, Savage, MN 55378.952-894-0005
..>....
0,,,1tJ Test Report for Jobl 567.t/
,. Address &,~783 Zoad;,) S.,( City ;;',~ ~~~
Occupant -"i) rk' k ,n e / J/ co c/;.~
Date of Ins1al1 .v / ,;l:.:l /c; 3
, I
Type of HT. F/A X HWt) Space HT Unit HT
Other -- I: l;
, C-
Make SZ.e'N'NO Y
Model 460l-L If V - 3(:,/4 - 07<:) - o~
Serial 580;;1'0 ~~3"S'
,
Input 70~ a:::::o
Pilot Type HOT SURFACE IGNITOR
Pressure 3. ~ C02 5. t./
Input CFH 70 02 'g. 5"
Stack Temp 3a-V CO ()
Date Tested L~hd./e;3
Company BUR,NSVILLE HEATING & AIR CONDITIONING
Technician ~.;J
- ,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~n ~!~. I PERMIT NO. 3- //(79
3. Yellow ApplIcant "-1 I
(Please type or print and siR11 at bu~~u_)
ADDRESS & 1~3 {3oudt'n 5+-;
ZONING (office use)
PdSf)
LEGAL DESCRl.t'TlON (office use only) . ).;t:i
LOT } BLOCK ~. ADDITION !lJilM4~ ,;;;
~'::e~R ~l teM- MoocU ~
(Address) ~
PID ~ 5 - d-iJCJ- DO 7,"0
(Phone) 0{5)- 440 -5', 71)
APPLICANT
(Name)
Bumsvifle Heating & Ale, Inc.
12481 Rhode Island Ave. So.
Savaae. MN 55378-1122
(Address) (City) (Zip Code)
(Contact Person) J LU.A 'Z-. ^ _ (Phone) q?~ .--1fJtf- rJfJ() 5"
APPLICANT SIGNATURE ~(1, AuM)1JY1;Y1 DATE 1)/ ID /01 -
\JAPPLICANT ~EASE COMPLETE BELOW I I
DNEW CONSTRUCTION tzfREPL;\t.E~ENT D AL TERA TIONS 1>1 . n
FURNACE MAKE AND MODEII..f.l)1UJX G to ouH \B.R.A -() '7 () FUEL AJcu- q~
FLUE SIZE RETURN OPENINGS - iNPUT:J 0,. /Y()V OUTPUT C:; ~ l/1lL
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(Address)
DWarm Air Plants 0 Steam
DGravity / '" _ ^~ 0 Hot Water
o Mechanical LX-{YY L.V l" 0 Radiation
@irConditioningllJ:Z..." (5 -o;t LJ- 0 Special Devices
DVent. System n .....7 . ~ Other Devices
Q,. \ LN\J
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
. C50
Estimated Cost $ l{, 3u'D I Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
51,50
i .50
(,fO .00
,
flce Use Only)
Building Official
Date
Paid </{}..__
Date tj-I'..;-3
RectJlflJ to b
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