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HomeMy WebLinkAboutMechanical 99-812 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS LfR33 ~ Sf~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING ~ ~UMBING RI ,-. J o FRAMING ~ECHANICAL IN....... o INSULATION 0 WATER HOOKUP o FINAL 0 SEWER HOOKUP o FOUNDATION 0 SEPTIC INSTALL o DEMOLITION 0 PLUMBING FINAL o FIRE PREVo C 0 SfE ~SP;cTION COMMENll)~ nAV"V\O.Ce; I A:fe ~~~,~,~~:_~'~~'~.~ ~'L" DATE TIME 7-/S-qq q':"~ j Cjq - 81 z... o EXC/GRAD/FILLING o LKSHORElWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o ..L::t;A~ ~'Vf:n.t ,~ .rL . BA1j~ .t!9:~ &:L r.A- ~ _o/u.7;.,~~ p. -,,-Oo~J ~J 1\ r" , ~I ~ " [~~... ..'- ~ ~.O'-i;t~-- ~ tT1J...~r~ ~ ~~ o , ~ ~ ~-~~, !) if I J / ,,"WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT m C~LL FOR REINSPECTION BEFORE COVERING Inspector: jrA l~ Owner/Contr: . ~ \. CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! , . ---.---.--------...---:.:-::-:------:--:-.- -.------------.---.-.-.,--...---.--.. ,-.. \. tJtl- 81d-" ~ ~ ...... I-' 'en .--.-.-------.--.--.-.---.-..--.....-......'.......-..-...... ...... I-' LD LD LD ___~_~__~_".~. ___~.,~r -------.-... ... 7' ~ .I..... n _ 11Io-.;'" -j..J~, ~.." #~.... ......_- 1'"_. ._#......--..._ ..'.....-. -...... ... :' '.- :... .'. '.: .' -'---""'" ",Pl.",="':' 'iof. ("r;o. ~.I' -,." - . ""7'~~~,,;~'-".-'~-"'.'."'-" ....... --..---.- ..~-l J\J- ---- &:; I ~ . HOUSE HEATING TEST RECORD ADDRESS l./{ 11 ^,.~.. JA 0 A.N! DCCUPA~I-._J'J. ,,...,oJ c:.-_ /VI_~-" _I J '"..." b HEAT LOSS DATE HTG. INn. ,-'"T.. 1C, SOLD BY M,__ ;<~/_,"r",." "1.c~ic.1 ...rll By _ ,J ,-n- ...... TYPE OF HUT STEAM GA fA v HW A.PT: .", FLOOR ~,.; ~. .~.'~-~. )~S~~LL\\ 6~ ,'. f' ,~~ . ~ ,: ;:;0. ~.n.~y SPACE HTR.', UNIT HTR. CITY fP ( r- SUBURB', A ~~ ~,..).. C':._ .. ~ ",' I OTHER ..... . GAS DESIGN CONVERSION i~_ "t/'r ". .~ - MA.KE MAKE OF BURNER. 'L .. " Moct.1 A.JiP '(~ In,,> i": r A Mod.1 ",'- :'. .-. . \/ I c"c;.IJ::Ij1:..;',t; \ ".. X Se.rial .., BTU'.~oting , , INPUT Ion ,..-.,"\ MAKE OF FURNACE .... Mod.1 CON TROLl THERMOSTAT h\._~ -u-- Hut PI", Vain Limit limB s..ttiftl f.n S.tlin.. Pilat T,~ Pilat Make Plio. Model Pila' Th~in, L. W. Cut on r,. ," I ... - ,_ 1- Pr...1WW l..wt CFH SNcll Tomp. F,.,IIL :13, r .'_1_- _ , "'" ~ ~ /~... 1 f- , .) V /'-.. ,....., J -- ~ ~ '---- ~,c. Percent C01 ~ L ,~.., 10&1 ...,,'J^ Percent 0 .." 'I 'ft ""f,' ... .. I:) '11' Perean. CO ~';"''''''''''.''': j :..,~ " Vent Sin . f.... J, " ft. .;" ,/ ;- KINO OF LINER D,.1t Hood Fi h.,. Sin OtlmnDY Lac<lt,,,n O\i",ney Con.INdion I(.~-.,_ .... ....J f r In.1de I.. .. S...ola. 80m b Oroh 000. Pt......,. .Y / \ L "IF A I-gularo. Hum". NONF ,Ouhi&e .A - 11".- ...J Whin, Tnt To, Lithtin, In'l. I __ A Do.. ',...Ied '1 t '! .. <<; '; CoMpony Tntin, I?,'_.< M",~ h -. ";1'_1 N._ ar Tnt., ~, .1"'1"'. en r-k/ " . ..~ . .. ., ",. / .... '. -, I-' ~ l. .. , W LD - . en I-' I'J ~ ~ U1 U1 ~ U1 W AJ o z U1 3: fT1 (") I 1> Z H (") 1> r "'U 1> Gl fT1 ~ I'J CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. 99- BIZ- Prior Lake, MN 55372 HEATING APPLICATION I PERMIT Date Ce 'd~.qq PID# ZS-92-h- 06Q-O Site Address 4833 BEACH ST NE ~/:50 lot Block Addition il/c../e:.:::> //11 /ftJ{}NQ<:;;. DUANE MELLING 496-1606 Qwner's Name . Address 4833 BEACH ST NE Huting Contractor RON'S MECHANICAL. INC. Address 12010 OLD BRICK YARD ROAD (612)445-8585 Telephone # Furnace Make & Model Ie fY' pS-\a. y Model Size t-JT f> (Q I OD Conn. load Fuel l)~ Flue Size Supply Openings Return Openings InputJOO.OOO Output qO,t)O() Edr. Cfm. TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning :J '/:l-ttnI Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices Alterations Replacement, 'A TYPE OF WORK New Construction Repair Est. Cost $ Est. Comp. Date 3coo. Db Building Permit # . 9t1-f8/z. HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ ~Q, C,O .50 4{).OD 1-- q~ Receipt # 35~ TYPE OF STRUCTURE. L Pink 2, Green 3. Yellow File City Contractor Single Family l\ \ Two-Family Industrial Multi-Family . Other Commercial Public Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1% of job cost ($3950 .. $99.50 . minimum) $64.50 $39.50. .....€.,............G.. O<...r~ $~;i.~,t'. ~ $39JiO'" . Remember to add the State Surcharge on the bottom of this application. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted with buildino permit number before build- ing certificate of occupancy will be issued. HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-9850 I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. \... -. f) if ~ w,~.qq Date tdh,9/QQ [tate Building Offical's Signature