HomeMy WebLinkAboutMechanical 03-0838
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1371
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
S~EDlILE!D
f!M!c. W1
~~
DATE TIllE
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3-~~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(~/ 1 ()~ L: /)
"-- ~ ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL /
f"f/~""CC / K
/ '
-
~
/w~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT1R(/:LL. FOR REINSPECTION BEFORE COVERING
Ii I ,21-o~
Inspector: . G b Owner/Contr:
CALL 447-98~O FQR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTJ
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BURNS.,ILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378 · 952-894-0005
Ors1at Test Report for Jobl ~3 /C:,
Address 337 / 4A~ $"/ ~iJ. City. g~/C- ~~-c.
Occupan~'A/-"! u,..,w..v .:z//f~s
Date of Inslall &, /;.3 /o;g
f f
Type of HT. F/A Y HW Space HT Unit HT
,
Other
Make ~~Y
Model GtCoUHV- 3~~- 090
Serial 580';;.1.., /C;/~~
Input 94 t)tZ)
Pilot Type HOT SURFACE IGNITOR
Pressure . g. :)' . C02 :5:" ~
Input CFH 90 02 ~. ,1---
StackTemp 3~ . CO~
Date Tested ? /:)3/0.3
, - /
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician ~
CITY OF PRIOR LAKE
HEATING/AIR CONDITJONING/FIREPLACE PERMIT
Date Rec'd
~. :;e~n ~~~. I PERMIT NO. O. 3 - 03 ~
3. Ye\low Apphcant tJ 0 I
(Please type or print and siRIJ. at bottom)
ADDRESS ZONING (office use)
3~JJ ~ Sf- Sw
LEGAL DESCRIPTION (office use only) 0
LOT ~LOCK 3 ADDITION~+
~
PID~5-1 '7 ;;'-0;)..;;). -()
OWNER IJ ~ I 1 J JI"I
(Name) f'\LUU I
(Phone)q)7,-/lic-2L1fl.J
Burnsville Heating & Ale. Inc.
12481 Rhode Island Ave. So.
'3~"age, MN J:;~~7~_1122
(Address) (City) (Zip Code)
(Contact Person) ~ iLL-1 ~ rJ . (Phone) ~2 ~ 'i;9Jj- ~
--<\PPLICANTSIGNATURE ..~ '.~~ DATE ~/1fJ_/o~3
U V I '
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL -U>(\(V)X - buD U\-\.V 03lo oqo FUEL ~-\- ~QS.
FLUE SIZE RETURN OPENINGS INPUT qC. DOO OUTPUT ~ 1.1 ~ 00
(Address)
".1P Ie. "
.s CLnI'C
APPLICANT
(Name)
(Phone)
(Address)
TYPE OF SYSTEM
\J~J\ (\Q)(
\ ~Pse-c.. cry:)
a,'V~
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
o Gravity
o Mechanical
IEAir Conditioning
DVent System
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ;5J.OD. aJ Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
31.50
.50
4n.CO
flee Use Only)
This Application Becomes Your Building Permit When Approved
Paid LitJ I ---
Date to -(73-3
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
1"
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39:50
ReceiPUq g I ry
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