HomeMy WebLinkAboutMechanical Permit 04-0654
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
REQUEST FOR FINAL
.(Please~ororintandsionatbollom) INSPECTION SENT TO
ADDRESS HOMEOWNER 01-05
2953 eENTER RD SW
Date Rec'd
~.~ ~:~ I PERMIT NO'O/I- 6S'd
3. Yellow ApphClJlt '-f II
ZONING (office u.s,)
LEGAL D~~CRIPTION (ollice use only) 0 ' ..
LO.?t- ;JOCK '3fp ADDITION ~a. ~ d,-1/fr~
, /
OWNER
(Name)
JAMES CAMPBELL
(Address)
2953 CENTER RD SW
APPLICANT
(Name) RON'S MECHANICAL, INC.
(Address) 12010 OLD BRICK YARD RD
(Address)
(Contact Person) L\ 1'1011"
/-\PPLICANTS1GNATURE ,*,;dav l\{xV\ltV\c1..lAJ
v
PID d '7" 133- 05;;1.-.0
(Phone) 952/447-9932
(phone)
952/445-8585
SHAKOPEE
(City)
MN 55379
(Zip Code)
(Phone)
DATE
l1~-~u -OLl
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL r 11 VYI 'Y ~'6 mm OWn FUEL l J L7
FLUE SIZE RETURN OPENINGS INPUT U(),aOD OUTPUT f;)F);:;O{)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
~raVity
Mechanical
ir Conditioning -
Vent. System
o Steam
o Hot Water
D Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
~ ,-toY\.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ VJD () ()
$39.50
$39.50
$39.50
Building Permit #
,
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
fice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
,:tyq .9J
.50
4l. ) D{)
I Paid < __
t.lO/
I Date 0 ~.?f-&(
Receipt vi? L/ () ;}---
~
(/
OF PRIOR LAKE
.SPECTlON NOTICE
ADDRESS
~9S3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CO~ENTS: i
~JIf? Me e d
"
DATE nME
SCHEDULED ~~~--
Cdftkr ~/~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
---
ru/,n9C e
~C"eIV-ii2-rl C//(S<;ir ?
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{A~-6lJ'F .?7 IP"",-
/7
~r-
GJ~- t::Z.,\y
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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./ WORK SATISFACTORY, PROCEED
Id- ~ORRECT ACTION AND PR EED
o CORRECT WORK, CAL REINSPECTION BEFORE COVERING
).
Inspector:
Owner/Conlr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSJIOT1
HOUSE HEATING TEST RECORD P \ l 1_
2j~ ... " 00.1 "'---L'--'..
AOORESS .. \ J L-~ ~\.:>. APT._FLOOR_CITY SUBURB
OCCUPANT .\ 1\ Loo"-" /" AI""...", '1WNER 7\1'........, /"'c_ _ <,-,_"
HEAT LOSS DATEHTG.INST. I/Z/n"'f
SOLD BY W"l",,:,,..,.-,..t,, INSTALLEDBY ~, I'-u,L~""u_
Electrical Wo,le By YCt!,..r L..........nJJ..,.a Ga. Lin. By
TYPE OF HEAT GA _ FA +HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN CONVERSION
(' t:Jo.r..1 f? , MAKE OF BURNER
Mod.1
Men:. BTU Rating
MAKE OF FURNACE t"' c-.r r \ QJ
MAKF
Mod.1
Serio I
INPUT
l fJD f""','"'r\
Mod.1
CONTROLS
THERMOSTAT (f:&'r.. ...."..----H..' PI...
V.nt Size
KIND OF LINER
~2"
Valve
Limit
Limit Setting_
Fan Setting
Pilo. Type
Pi lot Mak.
Pilot Mod.1
SIZE
.NONE
'<.
x:
Draft Hood Regulcnor
Fi It.,. Siu [' ~ J :z...~ '==------Numb., J
o,lmney Location Insid__ X .Outsid.
Chimne,. Construction " - V~K
kh.<I-
<::;.xl?..,,--~
Pilot Timing _
L.W. Cu' Off .
--
Pr..sur. ~ J _". \
Inpu' CFH~AlOD
Stack Temp. _I t"'l "-.t.\
For'" 235
x
Smoke Bomb
Dr.ft _
DoOl' Pr..sure
x
Wiring
.T..t Tall
Lighting In.t.
/
>"
P....", CO2 5 . I tzo
Po..."' 0 -1' 1'1: Ilfo
2
Percent CO ~r,n"
1.P ~ I'VI <..,-,,'\'"
Oat. T ..,.d
Company T..ting
Nome of T..t., _