HomeMy WebLinkAboutMechanical Permit #03-1600
Yd-.ll.o\0 R9
CITY OF PRIOR LAKE -#40.00 Date Ree'd
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
(Please fYDe 0{ PriDt and s.iga at bouom)
I ADDRESS
10Boo DU-LLATH AVE 5E
I. Piak
2. GNea
3. YelJow
E. r PERMIT NO.Q3./frl 00
J
ZONING (olBce \ISC)
/33
LEGAL DESCRIPTION (office we only)
.LOT BLOCK
AoomON
PID.Z5. (77. 004-'. /
OWNER
(Name) Jl.O L-( DA V 5T A \l ONSiOFzE
(Address) ekMe A~ 5 l TE:
APPLICANT
(Name) y A L~ HE:CHAN \ LAL-
(Address) q0Lf g G,j RA i<...D A V E .s
(Address)
(Contact Person) RO~ GllNDER.sHAlA.q
APPLICANTSIGNATURE ~, ~
(phone)
(Phone)
q52-664--{(Q~ \
%4-3 ,
. (Zip Code)
BLOOMl N c::'TON
(City)
,~
(Phone)
DATE
~0-
l~-lq -08
t _, LA
Ck TWo I
1 tJ~ H-eA:~~Y f2l'~nwCTION !S.REPLACEMENT 0 AL TERATJONS
FURHACBMAKEANDMODEL RDB~l2-r~ G012-.CON MODE:L- ttE-iOO FUEL NAil-lRAL- GAS
, II
FLUE SIZE if RElURN OPENINGS INPUT/OOIOOO OUTPUT
TYPE OF SYSTEM HEATINGORPO~RPLANT
DWann Air Plants o Steam PLEASE NOTE:
DOraviry o Hot Water Air Conditioner Units
I53J Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
DVent. System rBI Other Devices lli~D r+-G-A-ref:.S Setbaek$
fIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial &: Multi-family 1 % of job cost Residential, Gu FirepJace
S39.S0 minimum
Residential. Heating &. Ale (New Construction) $99.50 Residential, Additions &. Alterations
Residential, Heating Only (New Construction) $64.50 Residential. AC Only
$39.50
$39.S0
$39.50
Estimated Cost $ 3j I 00 t 00
Building Permit #
.-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.3Cl. '50
.SO
4o,cn
(Omce Use Ohly)
This AppUeation Becomes Your Building Permit WheQ Approved
BuUdi. omdal
Batt
Paid 4-6~o 0
Date
IZ-. t Z3~ 0.3
1121/10. d
24 bour notice lor .U inspectlom (952) 447-9850, faX (952) 4414245
SVCV~VVCS6 3~~l ~Ol~d ~O A1IJ
8S:~1 ~00c-61-J3a
r L,lRLEm
MECHANICAL
January 6, 2004
City of Prior Lake
16200 Eagle Creek Ave. SE
Prior Lake, MN 55372
Attention: Heating Inspector
Subject: Permit #: 03.1600
Gentlemen:
Yale Mechanical Inc.
9649 Girard Avenue South
Minneapolis, MN 55431
Phone: (952) 884-1661
Fax: (952) 884-0295
JAN 0_' 2003
Enclosed please find test report(s) submitted in compliance with applicable building regulation work
done within your jurisdiction:
HOLIDAY STATION STORE
16800 Duluth Ave. SE
Prior Lake, MN
Should there be any questions regarding this work, please contact Ron Gundershaug or me by
telephone at 952-884-1661, and reference our Job Number Y27618.
Very truly yours,
f '
Thomas M. Rowles
V.P. of Service Operations
/amn
Enclosure: Test Report
Design/Build HVAC Construction and Service
~7Yt1'f ~( 03;/'600
v
<DDRE55 ~OD Pc:? 1 ~~~ ~~ICIPALlTY OJ!'n~. !e..h t:
)CCUPAN -~ 7 . p-hc--h -- ' OWNER ~:>'MI '
TYPE OF HEAT: ROOF_FA_HW_STEAM_UNITHTR._OTHER,
INFRA-RE~ X
HEATING TEST RECORD
fit A)
:::.
MAKE
Mod.1
f{ohei't$ GOtc/oAJ
t-ll== '100
6"3\ 0 g:J" /()D(b 600~
/{)tJ,06O FUEL J1/~.r
~
MAKE
Mod.1
Se.rial
lNPU1'
f{ t...,A ~ rf~ 0 c rei tf~ 10
1-1 ~ I(~(/ .
t>;/JCJ - ('):2"2. IOOQc:)Z.f
/l , tJ/)O FUEL /1/ .?-
,
Soda!
INPUT
CONTROLS
THERMOSTAT .j l/iV;JC .
Vain IAy),;fc. rc:.'4 fl' "?
- ./
P.rC8nt CO2
P..,cent, 0;2,
Percent :CO
. .. I
6"
9.6
O'
CONTROLS
THERMOSTAT f.l-'~~ ' .
Vel 1"'11 ttt.d.J'/~ A a 't" r ::7
Limit . . " .
limit Setting It't' ;"/t1t' ~/ I ~' L
Fan S. ttlng
Pilot Type
PilD! ~k.
P iJ of Modlll
PIlot Timing
L. W. Cut Off
l/67- ~ b"'f.~#C<::-
..---.;
RpJ~;;'~orr'~~
Limit
LimIt S.tting
Fan Sett ing _
Pilot Type
Pilot Molcll
Pilot Mod.1
Pilot Timing
L. W. Cu'l Off
"? . " /
Prll uure 2 ' Jj ,
Input CFH i D, 0
~./' r: 0
Stoc:1c T.mp. .. .....&::>:1
",J~
V.n, Siu , 'L
KIND OF LINER I?
DraFt .---
T h-e 1" W\.&-' d ,l So L
-
/..J i:l + ~ (,.F'{' (fe. l {
flvh-r r 1.t> C~ rei tZ'/v
i ( I ,
------
~ r/
SIZE'
Tnt Tag L-A II
''3}~'/
Input CFH "JOt?
.,.,' 3/0 ~
Stack'Temp. :.' " C>
. /.../ r /'
Vant 5iu "7
KIHD OF L1I-lER ~
Draft .
P.rc.nt CO2... t.6' .
Pare."t 02~
P.rcant CO 0. .
Pralsur.
1~1
SIZE '
Tut Tog ~ -/
MAKE
MrxI.1
Se.rial
INPUT
FUEL
MA)::E
Mod.1
s.riClI
IHPUT
FUEL p
CONTROLS
CONTROLS
THERMOSTJ.. T
Valve
Limil
L imi t s.. tting
Fan S.ttlng
Pilat Typo
P i I CI t Me ke
p il ot M.odol
Pilot Timlng
L. W. Cut Off
THERMOSTAT
Va I'n
LIRli t
Limit 5.t1 ing
Fan 5.l1ing
P i I Clt T Y J>a
Pi I at J.l..c k.
P il ot Mo<l.1
P iJat Timing
L. W. CUf Off
Prossure
Input CFH
Sl-ac:k Temp.
V.nt Si:r..
KIND OF LINER
Dr aft
Percent CO2
P.rc.nt O2
P.rc'lnt CO
Pr. S lurD
P Clrcant CO 2
P.rcent O2
P.., canl CO
Input ,CFH
Stack Temp.
Y.nt Si:L~
SIZE
T ul Tag
KIHD OF LINER
SIZE
Draft
T..&t Tag
12 B B
INCORPORATED
TEL: (612) 884-1661 FAX: (672) 884-0295
Date Tested J'z - ! /).- 0 7 ' I
Name of Tester Let: 41c-~'-e1/
Job No. P 7'7bl~
hrrfl~lb~
9649 GIRARD AVENUE SOUTH
MINNEAPOLIS, MINNESOTA 55431
CNY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IC.~6i)
put u Th
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
LOr Wtis'1
COMMENTS:
DATE TIME
,,2-1: -()Lf
~
:? -lc,cPi)
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
11 ~C(l-tr 3
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I1iSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!