HomeMy WebLinkAboutHVAC 09-0746 (Boilers)
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Sep 17 09 11 :27a
Steve Brown
5039749093
=Pr lor
p.1
~tt~'r
Date Rec'd
CITY OF PIUOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
~./7,01
t~ ~ !PERMITNO'Oq. 074!p
I ZONING (allitc use) I
S€ . .
LEGAL DESCRIPTION (office use Clliy)
LOT BLOCK
ADDITION
Pill
OWNER C LL-'
(Name) oC$) 'f'"
(Address) 2--;
APPLJC~}
(Name) ~ 1 n~')
(Contact Person)
DATE
ONEW CONSTRUCTION .,gl REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODBL K..J i lmtM-j.l- ~ PB-4()O FUEL N.4-1:.. GP-5
<" ;Fie;. ~:P>c:f OUTPUT ~~ It,\. i......
FLUB SIZE (p RETURN OPENINGS INPUT
TYPE OF SYS'I'BM HEATING. OR POWER PLANT
DWarm Air PlllDts o Steam PLEASE NOTE: Alr Conditioner
Units aDd FirepIal:es Cannot Enl:roadl
DGrilVity' . ~Hot Water Jnto Required Side Yard Setba~ks.
o Mechanical o Radiation
OAir Conditiooing o Special Devices Fireplaces with Box Addltl.ous or
OVent. Syslem o Other Devices Cauti1&vers to the Outside o!BuUcUngs
Requh'e a Building Permit.
FIREPLACE MAKB AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Cotnmercild & M111ti~Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149,50 Residential. Additions & Alterations
$64.50 Residential, AC Only
$49.50
$49.50
$49.50
Residential. Heating & Ale (New Construc;tion)
Residential, Heating Only (New Construction)
Estimated Cost $ t/Z ,~"2; ( -
.
Building )Jcl.1l1it #
HEATING PERMIT FEE
STATE SURCHARGE
~ TOTAL PERMIT FEE
$
$
$
t..h2 ; 1> 1
.50
'111 . 'it I
Paid +-2.2.. 8 I
Date9 Z.Z, 0
Receipt NO'589 6D
By
14 hour notice for Rlllnspedlons (9~2) 447-98:50, fax (5152) 447-4245
4646 Dakota Street S.E., Prior LAke, Minnesota 55372
:. (I 1!?!(eri:/:- 2..
: :~~_______~:~:~~:~~~SR
1 f1.....i.::12/2~iO.3
i::: - - ::;;: ::::: Ij 1
~5: 44: 1:3
F j.1.Je ga:::
250.2 -F Tl temp.
~.7~ ~..; C02
54. 7 ;~ EFF
~.4.3;~ EXHlt-
':'.1=1" i))(':i'3en
3~i ppm CO
674 ppm CO Hi~F~ee
0.13020 inH20 D~aft
68.2 -F ~mb~ent temp
71.5 F Inst~ljm temD
li31.ti F Cliff. t,emp,'
inH20 tiftt t~ess
322 ppm CO Ambient
t.est.cl 327-1
Vl.08 01533216/U5A
i0/0U2@@~
Ui:i:44:Si:i
Drat'to'
13.01320 inH20 D~aft
~~~:~:~ ~a;t~Ck
tes t.o ~i27-1
Vl.~8 e1533216/U5A
10/0U200~
~i:i: -45: 23
CO Ambient
322 ppm co Ambient
---&il-~r-#-4------
t!est.o 327~
Vl.95 @i5~~2i6/USA
1 Q/(l2/2ld@'~
Fuel
C02 max
2:;i6.1
t..0101
~;:::i. i3
i34.2
10.2
341
664
0.~056
t,;;.i3.7
l ~..;.
16Ci.5
Qe: 5::::: 2:3
Nat. Gas
11.7 \
Flue 9.~S
525
DF T1 t.emp.
~; C02
I. EFF
~: EXAlt-
...; OX':lgen
ppm CO
ppm CO Ai~F~ee
inH20 D~af t.
DF Ambient temp
OF Inst~um temp
of DiH. temp.
inri20 Dift. P~es:.
PP~'t CO Amb i en t
t.es t..Ct 327- i
Vi.05 0i533216/U5A
Q!;:;: 54: 11
D~an
0.0056 inH20 D~aft
243.3 DF T stack
243.3 DF Max
~t*1
r..es t.o 327-1
Vl.08 01533216/USA
~~J~:M'
(It;; 54: 47
CO Ambient
525 ppm CO Ambient
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lQ/e2/2eQ~
10/02/2101@~