HomeMy WebLinkAboutMechanical Permit #01-1205
CITY OF PRIOR LAKE
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
(Pl~ type or Print and tip at bottom)
ADDRESS
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-
OWNER
(Name)
(Address)
Date Rec'd
rr:r I 5 2001
I, I'llIk Pile
2. Grecft CilJ
J. V./low A,,"CIIlf _
ZONING (oftIet UK)
(53
PID~2-~%- Og-!
'-
(phone)
APPLICANT /J /' /h L . /7 .
(Name) ntr ( ..I)~ lLk:tLJ4Ulp.v
(Address) (~d.l ~Cbs~ ~uJ
(Address)
rT' I' ·
(Conract Person) v t f'Y"\ . ur 1""""
APPLICANT SIGNAtlJRf! ~ .....r--,
~ '-.....,.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~L j ~J(A TJONS
FURNACE MAKE AND MODEL .-Cc\c.~ ~~/S- ~oo~ FUEL tJ'j
FLUE SIZE RE11JRN OPENINGS /!e-"" INPUT . OUTPUT
TYPE OF SY~ J ~M . iEA TING OR. POWER PLANT
" DWarm Air Plants 1'1 ~ ~~O Steam PLEASE NOTE:
OGravity U'{. y 0 Hot Water Air Conditionir Units
o Mechanital (;) Uw 0 Radiation Cannot Encroach into
OAir Conditioninc \ ~ I ~tf 0 Special Devices Required Side Yard
OVent. System ~ 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL
(Phone) J,b~-SJ:?)-{)~() 7
~~ ~/
() (City) (Zip Code)
_ (phone)
DATE ./~-(/~ol
FEE SCHEDULE
Industrial, Commercial &. Multi-Family ~ (if iob cost '~ Residential, Gas Fireplace
$39.50 minimum
Residential. Heating I/, Ale (New Construction) $99,SO Residential. Additions &\ Alterations
Residential, Heating Only (New Constroction) $64. SO Residential, AC Only
Estimated Cost S ~ vC(J. .~
HEA TING PERMIT FEE
STATE SURCHARGE
TOTALPEDlIl FEE
~ullding Permit When Approved
/d . '~-O(
Dlte '
$39.50
$39.50
$39,50
Building Penn it #I
s ~.~
$ .50
$ 15g5:1R
Paid, J;~ /EO
Date I () (> tJ- tJ J
Receipt No. u
, L/D'7 L/7
By ,
~
~
24 hour Rotlee for aU inspections (951) 4.7-9850. fll (95%) 447-4%45
0~i00/2001 09:07
7034208427
RUSHING COMMERCIt!~ ~__ ____
PAGE 01
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qp CQN[ACT 800-321-8194
MEN'S WOMEN'S ~c FOR FORMUlA COlOR
RESTROOM RESTR.OOM .
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EOJ ~UIP"ENT lECEND (N~
[] TERMINAL
o LASER P~MER
-€& BOC-(Bronch Off~ Controtler)
(g - DIGitAL INDOOR UNIT
.:'/'! - 'NT REC DECODER
~J-PHONE SYSTEM
t:::j lV /VCR
Lett-~ ~ ~
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Fl/~.~l~-o~URE/~QJ,,,EQUIP. Pl.AN~ EDWARD JONf3
11 - V flOORING SUPPUER:
" FlOOR SCOUTS
N.l.e. = NOT IN CONTRACT FOR flNISlJES (800) 262-4957 -OR-
W/A :: FINISH NOT f\PPUCABLE TO TH~Om.4 (314) 997-34J6
RIA.NO. PAIN:'~~~ET~~~~CT N~T,ES Edward Jones
101 P3 C7 81 w~\ SEE NO~ 'A' -----
102 P3 C7 ,B1 NI1\::.,:-.....SU_ N,.O.:rE, \'. · BRANCH FACIYTIES
103 P3 C7 ._81 _ N/A '\: <~.... "BRANCH OFFICE 22061
"-. - '<.:' h., S"t 201
"_ ........ -h.. UI e
_ COMMON I R~TRO~M",................. 5116 Gateway St.
f ,...._~. ..Prior Lake, MN 55372
F\N'SH SPECIF CATIONS - l!AsE SQ, FT. 675
PNHT SHOwIN WIUJM5 'MJICWN' lNItJIDt IWNT (WAll.!: S\1lN FIfSH: 111II: SEMI-QDSS) _ ISSUESl ~
P3-f!iW1OlI1&1I1(l:IIIIL .. ~...""
SHQlWlN IIJJMIS COLOR ~.I') tnRIDR IATtl (D-CI.05S FlISH) , 1/22/01..... lit .... ..... ....r
NJeDIT WAllS-n CUSTOtI ~D.I CRfll( , 2- ~~
~ I ~ ..... ..... .. ,
CARPET ~= _ = JOt6 lJP~~ \.~~ ~ ~
~ Sf... DCnON COIIIflItW./WM .- wm. c:a.( '<< . DMIN It: AMJ for K EXHIBIT A
12")('2- wrn. QMIOSIOON lU .. aM: ROPPt 800-432-81.6 HIT 2
"-IS'''' QAB: IIi1t 81-1m 'f.Wmt. .- CM .1t: 08/14/01 U
FURNITURE: OFS/NH/PACKAGE
UPHOLSlERY: HUNTER GREEN
VCT
5illo
HOUSE HEATING TEST RECORD
5.\-
(17' te '^' ~1
DA TE HTG. INST.
ADDRESS
OCCUPANT
HEAT LOSS
SOLD BY
E I.ctrical Worle By .
TYPE OF HEA T GA.:x FA _ HW
L GAS DESIGN
MAK E eY\ "^O~
Mod.1 ClcSjJp ~03b - 9.0 - 5 '(
S.,;.I ~O~&~ OJ. asP-
INPUT p'tv=>
CONTROLS
THERMOSTAT X.... " Heat Plug
Valve th:>V\~yVol~\\ :
Limit . ~~ (\~ d\~c..
Limit Setting. ,~I
Fan Setting Tt vY'\ e.\ .
Pilot Type D\re.c..-\- SQ ~r'L
Pilot Make ~~V\~C)'^ C.OV\\-C-O\S
Pilot Model ~~lo5 ~CA-~
P~ot Timing _ .5 See
L w. Cut Off
'~essure g,S"
Input CFH.
~tocle Temp,
Form 235
a.'t1c
.FLOOR
""" ..
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.CITY ~.
.SUBURB
STEAM
APT.
OWNER
INSTALLED BY , . A,\ (01"' 0
Gas Line By A\f c..~'
SPACE HTR, _ UNIT HTR. OTHER
CONVERSION
MAKE OF BURNER _
. Model
_ Max, BTU Rating _
_ MAKE OF FURNACE
Model _
Vent Size
. KIND OF LINER
. Draft Hood
. Fi Iters Size
, Chimney Location
, Chimney Construction
. SIZE
RegulaTor
Number.
_ NON F
Inside
_ Outside
_ Smolee Bomb
_ Draft
. Wiring
Test Tag
Lighting Inst.
- Door Pressure
Percent CO2 tf.l/~ _ Dote Tested
_ Percent 02-13.~ Company Testing
_ Percent CO 3~ r'~t'\ _ Nome of Tester
Ii - I d. -0 t
.. A\f C~
i I""'" \~ \
SCHEDULED I/I/~~I
~~.
J
CONTR.
CITY OF PRIOR LAKE
INSPECTIO~ NOTICE
ADDRESS
!5/ I ~
OWNER
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
@ 0 SEWER HOOKUP
o PLUMBING FINAL
J( MECH FINAL
COMMENTS: )0<> ~ ~ ~.
" ~
~
- ,.
~
tJU6>f- ~,
DATE TIME
~;3o
() (-/Z05'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
X:J WORK SATISFACTORY, PROCEED
(0 CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: - ~ I Owner/Contr:
"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
OA TE TIME
CITY OE PRIOR LAKE
~INSPECTION NOTICE
SCHEDULED
tJ4/t;1
9,':1 (:J
ADDRESS -.511 ~ ~
...J
OWNER CONTR.
PHONE NO.
PERMIT NO.
(J l -/z.-OS'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
lid MECH RI
ti WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: L 8 ~ ~ r ~ - Pes
~ - (,17-- 3' ~ - 7173
Q) ~ -h>.,<2L /~ ~ {o ~
. ~(~,
@W! _:;Ii ~ ~ .~ ~
~ '.'~~~~
~- · ~~ ~oif.
~(I I
~Jo~~~/~.fo~?
~ ~-o-k-,
o WORK SATISFACTORY, PROCEED
j1A CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI