HomeMy WebLinkAboutMechanical 00-0557
CITY QF PRIOR LAKE
" INSPECTION NOTICE
SCHEDULED
DATE TIME
~ 3..' (}l)
ADDRESS S. XI (~ t: ~"" ('.\ Of V .
OWNER CONTR.
COMMENTS:
PERMIT NO. 6'l'J-0~?
o PLUMBING RI 0 EXlGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FIN';~~D ASLINE AIR TST
o MECH FINAL ~ .li' ('" r--. c::"
Ale... yNv
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
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)f/WORK SATISFACTO IV, PROCEED
I 0' CORRECT ACTION A NO PROCEED
o CORRECT WORK, C, ILL FOR REINSPECTION BEFORE COVERING
Inspector: 6: -, OwnerlContr:
I
CALL 447-9850 F DR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREII ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/'IOTl
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ADDRESS
OCCUPANT - . .-
HEAT LOSS _ DATE HTG. INST. lif-l.:=.ft-O/)
SOLD BY /'Yl.^,~",-~/I>.!o INSTALLEDBV h>.'V" W,.,h_~""A
Elo.kl..1 Work By R 11;& ....;I! y Gas Uno By ,
TYPE Of HEAT GA _FA .-!::-HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
53lJ-
Pr,'o ,.
HOUSE
c__ SE
MAKE
Modol
Serial
INPUT
r.H OESIGN
_~rr.--"/"' --
")<;< 1^~,>C(/_I? -
/~Oc) f't Go )c; 9 ~
"16 t"lQd
THERMOSTAT
CONTROLS
/lC'iro-S-L Ho.t Plug
Val". - -
Limit .._ lYt"'f)
Limit Setting Z
Fan Setting
Pilot Type
Pilot '-'oke
Pilot Mod.l
fI :s \+t '
L'+o I V 12.. It:-
HEATING TEST RECORD
CITY p, L. .SUBURB
.APT._fLDDR
. OWNER -
CONVERSION
_ r,:..\K-E- ~~ D.II~NER -
. Madol ~/
_ Malt. BTU Rating
MAKE OF FURNACE I \
" \
Model
Vent Size
4"
, SIZF
.NONe
. KIND Of L1NEP
Draft Hood. - Regularor -
Filters Size /~1l7..1m-\.. Humber
Chimney Location Inside Outside
Chimney Construction b" IS _U"A1_
Smoke Bomb
Draft
_ Door Pressure
.Wirini
,Y' _To.' Tog.\.L--
l t _Liihting ~st.
Pilot Timing
LoW. Cut Off
_Percent CO2
. Percent 02:
Percent CO
Pressure
Input CFH
Stack Temp.
Form 235
>~
7 CJ, IYY>
3'-19"
7f. (." . D.to Tntod 7-1I~ - ::.'" - ,
~.l[ Company Tosting ~ ~ '< AI/...,h-......(<:' I
0/,) . Hame Gf Tester _ <;' r,ca..ft-- (r-.. ....)..,r-
CITY OF PRIOR LAKE Me
16200 Eagle ~reek Av. S.E. Perm" No. 00 - 05 r;;7
PriQl' Lake, MN 55372
Date
HEATING APPLICATION I PERMIT
(P)X./5D PID#2,5-I7f/- Odz......6
5'9J/fn PJf!.I()L lj.te.eL6
I Add"ion. Peloe /fILL-
BOB NBRMAN 447-1294
'Th- ..",. 5816 PRIOR CIRCLE SE
S"e Address
Lot ~ Block
Owne~s Name
Address
Heating Contractor
RON'S MECHANICAL. INC.
Address 12010 OLD BRICK YARD RD SHAKOPEE, MN
55379
Telephone # ':J5L.t~~5-oJOJ
Furnace Make & Model (' ,weJZ-\F1.
h<?.v-JA'VCA I
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cond"ioning .;)' h. t-o n
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Speciai Devices
Model Size
Conn. Load
Fuel
l'll-:l
Flue Size
Supply Openings
Return Openings
Input ~. roD Output _ ~ \l-D 0
Edr.
Other Devices
Clm.
A~erations
TYPE OF WORK
'{.
Est. Comp. Date 'l-' 0 - 00
00 -055/
,
Replacement
MoW Construction
Repair
Est. Cost $
:, 000
Building Perm" #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
:::>=l.g)
,50
4t).d) Receipt # ----.37M ~
TYPE OF STRUCTUR~
l. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
~
Two-Family
Industrial
Public
Multi-Family
Other
Commercial
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 ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
"'.. ~
v
RAmAmhAr tn ~rlrl thp ~t::ltA ~urchar[1p. nn it'll" hnttl"ID-flf thic: ~p.plicatinn
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 buildin'1 ~ ~ before build-
ing certificate of occupancy will be issued.
J::lEAI QAI r.l II ATIONS REOUIRED 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 fhe 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.
l1-16-oo
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