HomeMy WebLinkAboutMechanical Permit #01-0999
CITY OF PRIOR LAKE
~
HEA TING/ AIR CONDIT-IO~INa/FIREPLACE PERMIT
Date Rec'd
'1-/3-0 I
(Please type or print and si~ at bottom)
ADDRESS
~: ~::n ~:~ PERMIT NOo/lJ_ /100a
3. Yellow Applicant CL/ ~ I - L
14662 GLENDALE AV SE
LEGAL DESCRIPTION (office use only)
LOT Z, BLOCK / ADDITION OrJKt.-FJNLJ t35/7eH 2 NO
OWNER
(Name) STEVE VESPESTED
ZONING (office use)
eI$O
PID ?~-/~- ()OZ.-O
(Address)
14662 GLENDALE AV SE
(Phone) 952/440-7552
APPLICANT
~ame) RON'S MECHANICAL, INC.
(Address)
(Phone) 952/445 - 8585
55379
12010 OLD BRICK YARD RD
(Address)
SHAKOPEE MN
(City)
(Contact Person)
LINDA
(Phone)
DATE
APPLICANT SIGNATURE
~~~~
'-J
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL lo.. r r \PV'
FLUE SIZE . RETURN OPENINGS
TYPE OF SYSTEM
~REPLACEMENT
~ ll\'l ~O<6D
D AL TERA TIONS
FUEL N b
OUTPUT ~5,2f)O
INPUT gO, 000
OWarm Air Plants
~raVity
Mechanical
ir Conditioning
Vent. System
HEATINGORPO~RPLANT
o Steam
o Hot Water \.
o Radiation ""-
o Special Devices
o Other Devices
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
O/-o'lqq
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q.SD
.50
40 .00
(Office lIse Only)
Building Permit When Approved
Paid 40. OV
Date
'1-13-0/
q -/3-tJ I
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(Zip Code)
~-\\..o \
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No.
4-o5~e;
BY~
/
~ITY OF..PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~LATION
.~~!~~L
o SITE INSPECTION
COMMENTS:
DATE I TIME
/"-//-0/ I ~ ; ~
III /t; to d... ~~
UJ
CONTR.
or q 9 9 "--""~----
~CHEDIJt.ED
PERMIT NO.
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
-a--~~
I
a;k~
.1"
~./~
"IJWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ /
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
stAPT.
OWNER.
{JI~ q q ~
P. L..
CITY , SUBURB
HOUSE H EATING TeST RECORD
GAS DESIGN
MAKE -LA~J ~
Model ~ fft,~, v.r C>y\ (' .- I:); -1- J ~
Serial ~C!/hJI.f3~ r
,.iPUT. -~- Cco
ADDRESS Ilf~~ Z. GLt"'f\.fY-)B~v
OCCUPANT 'S~t! t-Jare-rTt.rlJ J.
HEAT LOSS _ DATE HTG. INST. ~/~I'6f
SOLD BY ~~LO
Electrical Work By f"'C!.A-l C .......,A'1
TYPE OF HEAT GA FA)( HW
THERMOSTAT.
Valve
Limit
Limit Setting
Fan Setting
Pilot Type
Pi lot Make
Pilot Model
Pilot Timing
~. W. Cut Off
Pressure
Input CFH
.
Stack Temp. .
Form 235
CONTROLS
Heat Plug
PI X f'Y;>
H6.T 1"
. -16ft t I
(vyv
~,r-
gc ~. C'~
(~ ;>
Percent CO2
Percent O2
Percent CO
S'.c.
,~c..
(1
FLOOR
STEAM
INSTALLED BY
Gas Line By
SP ACE H TR.
~.-:5 ~n HA-~(aL
UNIT HTR.
OTHER
CONVERSION
MAKE OF BURNER
Model _
Max. BTU Rating
MAKE OF FURNACE
Model _
)(
It "
_ Vent Size .:2- fVC-
_ KIND OF LINER _ I!-~SS r _ SIZF I./' NONF
,. - I(
Draft Hood \P Regulator
Filters Siu/Gt,,eU/.':1JO-t:.. Number
Chimney Location Inside V .Qutside
Chimney Construction _ /' ~~ '5
Smoke Bomb _
Draft
- Door Pressure_
I
~/
Date Tested
Company Testing
Name of Tester
_ Wiring
l/ Test Tag
Lighting Inst.
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