HomeMy WebLinkAboutMechanical 03-0577
CITY OF PRIOR LAKE
INSPECTION NOTICE
DA h: TIME
SCHEDULED
l-/r
ADDRESS
408"'
'-'V'10tA-\ Or/A=-. 4"
CONTR.
OWNER
PHONE NO,
PERMIT NO.
-:7....S7,
-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
r(/y Vl4L( 4(,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~..-
/' I
I / j D~
\ L,../
~
--
--
~~~
f-( I~ )
. : -/
~
--------
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~LL FOR REINSPECTION BEFORE COVERING
Inspector: Y VI / ~-/6/0"7 Owner/Contr: .
CALL 447.9850 FOR THE NEXT INSPFt'"
CODE REQUIREMENTS ARE F
.,
"
'....".
HOt HEATING LTEST RECORD
4-oCl/ W h'l ~ m~
ADDRESS Of:::;:> ~~~ r, _LeI\' APT. FLOOR
OCCUPANT. ~f:>~~ c..h~,. -.OWNER
HEAT LOSS. .A -PJTE HTG..INST. ,/j /1,6/05> A? OV,"
SOLD BY .Plo n_ -. t ~.~ .INSTALLED BY _ r-,
Electrical Work By ~Jp./\ ~ . Go. Line By
TYPE OF HEAT GA FAX HW STEAM SPACE HTR.
"'
~ ~S DESIGN
MI"-. ~ ~4 --- MAKE OF BURNER
6)6 0 VH V - .:/6 --c:> / ~del
r; .~c):5 A-;::7 ~ -z,y" 3 Max. BTU Rating
L ,.- /-c:>~ MAKE OF FURNACE
Model
....r-~7NTROLS /' ~(
THERMOSTAT7 Heat Plug. _ Vent Size (? .
Volvo -- ^ _ KIND OF LINER SIZE
Limit . J~ '\. -'--.... \ Draft Hood _ - $e,ulator
limit Sa"ing fY ,'t...t:i?-~ Filters Silelb~-S/\ _-Number
Fan Setting ~...- -\:Q_... _ Chimney Location In.i':l-. _\l~~~
Pilot Type 4S [ r ~_ Chimney Construction ~ .:..::..'-'\.-
Pilot Make ' C " '-.--
Pilot Model ? - _ Smoke Bomb ""--- Wiring
Pilot Timing. _ Draft. ___ ~t Tog
L. W. Cut Off Door Pre..ure - Li?~g In.t.
Pru.ureJ:?-- ~ ~.f.ercentCO !!;, <:!) _ Dote Tuted ~/I'I~~q
InputCFH ~~rcent O~ Cf.C:> Company Testing ':ff'~? ,r1J~
Stock Temp. _ ::gt ~ Percent CO c...-1 No.... of Tuter r. 7.... ~/.....
Form 235
.CITY
"UBURB
~
_UNIT HTR.
OTHER
CONVERSION
MAKE
Model
/""
~
, ../ --........
~
Swial
INPUT
'\3. L,
.NONF
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
(Please type or print and sign at bottom)
ADDRESS
40g(o Wapp(\ {3r;d,qe e\ide ~6
LEGAL DESCRIPTION (office use only)
LOT (~LOCK l~ADDITION (;
/I
OWNER {\ rl,^
(Name) l -:If X'f/ A ,r~
(Address) l\O~ W~ ~r't:8e. Ctrclt N~
APPLICANT to, -
(Name) \~ v\~ rcrcha..rl \(,Ul., \ Y'C.
(Address)~lD C \d. 13rlck \lard I<et>.d
(Address)
(Contact Person) L, Y'Yh
APPLICANTSIGNATURE~W:JD Jtx~
'J
Date Rec'd
1. Pink
2. Green
3. Yellow
~:~. I PERMIT NO.,..-,\ 3- r 171'1
Applicant U;;C:] II
Z01:J2;s7j use)
EaH- PID~5-/~(; -tJtJ6-()
(Phone) %'h 4~D- u.'1LfT
(Phone) CfCll.,. 4 L\ '0- ~ ffi '5"
!3txJ.K1>pee 553~
(City) (Zip Code)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL J..D.. VW\l))l ~ Eo..u 1,\\)"'310 A-- rno FUEL
FLUE SIZE RETURN OPENINGS INPUT J:QJ)j) OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
& arm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~r Conditioning 0 Special Devices
DVent. System 0 Other Devices
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 5100
5(oIDCX~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
:'$1. SO
.50
1\0. DO
Paid ..--
'10.
Dat6-'_/5-o3
Receipt No. :::l 7
L/'/5~)
By YfG
'--'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
T