HomeMy WebLinkAboutMechanical Permit #01-0989
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date...Rec'd
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(Please type or print and sign at bottom)
I ADDRESS
14123 CEDARWOOD CIRCLE NE
i ~w ~:,;=, PERMIT NO,# 0" s> rj
, ~fl
,pING (office use)
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LEGAL DESCRIPTION (offiee use only) 0
LOT II BLOCK 0. ADDITION~
ptMa 3rd
PID~?~/ d/L./- ()~- 9
OWNER
~ame) SANDY DRUMMER
(Phone) 952/496 - 0 1 84
(Address) 14123 CEDARWOOD CIRCLE-NE
APPLICANT
~ame) RON I S MECHANI CAL, INC.
(Phone) 952/445-8585
(Address) 12010 OLD BR I CK YARD RO
(Address)
SHAKOPEE MN
(City)
55379
(Zip Code)
(Contact Person) . (Phone)
APPLICANTSIGNATURE ~~ ~~ DATE g.lt..{? I
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION IX] REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL e.eLY ~u. yo ~ l1. H \lQf)O FUEL ;V fA
FLUE SIZE RETURN OPENINGS INPUT 13(9 I f)0 D OUTPUT ~ If, ot5D
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
6?J Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\tUl FEE
$ , .:1,Cl . SO
$ I }ir.. ""' .50
$ J.-(1) . () ()
SEP J 0 2001
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 'f(} ( 00
Date
q-/I-O)
Receir/'bo557
By I
;p
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
\ ~OUSE HEATING TEST RECORD
ADDRESS I L J.3 tfJX;....~()06- C~. .APT. FLOOR
OCCUPANT ;n~l( r~~VN\(V\.t~ .OWNER
HEAT LOSS. DATE HTG. INST. n _ .
SOLD BY . f'^'.f\)'t...}""91.lAS,G<? I .INSTALLED BY lLD~~ lV\~c.hcvU~~ "
Electrical Work By to.(.;,_Wt~: / Gas line By _
TYPE OF HEAT GA FA V HW STEAM SPACE HTR.
GAS DESIGN
MAKErll~~'
Model ~0 ~I!flc;
5..i.1 tJ~~, "~n
INPUT 0 'tc~
THERMOSTAT.
CONTROLS
......... ~ ( -( S.' Plug
\./,~ \
\, \'~X
~ .,<;J~(0
\ '" J /~\.'-'
~U\\
~
Valve
limit
Limit Seffing
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing
L. W. Cut Off
..-.;
Pressure ~~::>
Input CFH~"iCCD
Stack Temp. ).50
Percent co "l~%
2 L"),C(J L
Percent 0 ~~/D
2 OL.
Percent CO (')70
Form 235
UNIT HTR.
MAKE OF BURNER
Model _
Max. BTU Rating
MAKE OF FURNACE
Model _
II t\
Vent Size I...-f
KIND OF L1NER_R.-U~.
Draft Hood
Fi Iten
Siu Ib'i--2.~~c..\.
Chimney Location Inside
Chimney Construction _
CITY ~ -
OTHER
CONVERSION
_ SIZE-,=,' l
Regula,or
Number
_ Outside
Smoke Bomb . Wiring
Draft Test Tag
Door Pressure _ Lighting Inst.
Date Tested q-rJ -0\ .. _
Company Testing .~'C..~c.o...\
Name of Tester,,/ ~-f~' ~
SUBURB
NONF
DATE TIME
. . OF- PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I YI ;;2-3
SCHEDULED ~~;1~1
~~r
/1 r j7a
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJr- ~?i
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
i5 FINAL
6 SITE INSPECTION
o PLUMBING RI
o MECH RI
o 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: ~
~- ~
~~,
'(IJ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: _ ~. I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI