HomeMy WebLinkAboutMechanical Permit 04-1188
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
II. Z--tJM-
~. :i.::, ~:~ I PERMIT NO'04-. II ,).4,
3_ Yellow Applicant VV
;ase ~ or print and si9Jl at bottom}
"DDRESS
I 2972 SPRING LAKE RD SW
. LEGAL DESCRIPTION (ollice use only)
LOT 10 BLOCK
ADDITION SP/i'4';V 6J L-J:::.-. 7CJ(J f-l/ (7(3:
OWNER
(Name)
ZONING (olliceuse)
I&/S 0
PID 25: tE . oft,. U
,
BRUCE ABLARD
(Phone) 952-447-7042
(Address) 2972 SPRING LAKE RD SW
APPLICANT
(Name) RON' S MECHANICAL, INC.
(Address1,
12010 OLD BRICK YARD RD
SHAKOPEE
(Phone) 952-445-8585
MN
55379
(Address)
(Contact Person) m/rfUI ,13 t't?~f7,l2..-()
APPLICANT SIGNATURE ~ ~
t/ .'
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION iXI REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL flu U 0 ! 1'h-1? I! /)/..... tftn/ki5 FUEL Jv 6-
FLUE SIZE RETURN OPENINGS INPUT (x), bOD OUTPUT ~(5100
(City)
(Phone)
DATE
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit # tf~. II~e
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~q, .50
.50
4IJ I (JiJ
(Office Use Only)
"his Application Becomes Your Building Permit When Approved
I Paid 41J. uJ
I Date / { J1'. tJ.f-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
(Zip Code)
//).;?3/b4
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
. Receipt No. 4g:?7o
. BjHff-
ADDRESS
~9' 7.z
DATE TillE
SCHEDULED ~~~.~
~ Y"7 2..le 4c1
CONTR.
PERMIT NO. a-f/- // J:f"
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE 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
.,..a-m:CH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMM~: f /
/4.f)/U-c;-e.. d /-u )' n -""Z c- e
/2e~("/v~L' o/s.y;L r<~'rJ"L
;0i#7~~ /75J-- O/C
,
/"""1\/
C// "-
~WORK SATISFACTORY, PROCEED
/ c\ CORRECT ACTION AND PROCEED
o CORRECT WORK:fA?Jr~ REINSPECTION BEFORE COVERING
'it:/
Inspector. / - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
lNSNOTl
HOUSE HEATING TEST RECOR8 V. L-
ADDRESS 7-4,2 <)r(~j I_,,\u ILb APT._FLOOR_Cl'rV SUBURB
OCCUPANT B( OIl" 4'- fG:cllj 1"""\" f J OWNER II '\
HEA T LOSS _ DA TE HTG. INST. --/-l-h -11 "''1
SOLD BY f'\ ;'-'l ~c. "'iLt::'! INSTALLED BY t'C)"" S ~,._kC.V1;7 e... \
Electrical Work By ';\lnL<) ~r k aw~ tJ Gu line By
TYPE OF HEAT GA _FA---A-HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN
MAKE_ 12,',")
Mod.1 \ ){na I<' - ."JIhr~"" "'~
Se.ial InC,'i{)7r'>2--C ".",,,..j...Q.z.-"t~
INPUT _ {~C,,{)on
THERMOSTAT L 0,j
CONTROLS
Heat Plug
Valve
Limit
Limit Setting
Fan Setting
Pilot TyP'l
Pilot Male.
Pilot Mod.1
Pilot Timing
L.W. Cut 0/1
Pr.nur. 7 1('
Input CFH . {~O. (\~,.)
Stade Temp. -ll.f!
F _In 235
"
( ) . /'\
V~ p--. 'i.-(;~
\, '.~./" '~t\
P .rcent CO 2:
Percent O2
Percent CO
lo.<-/lJ1o
cr. &Ulr>
"2 '-',of'"
CONVERSION
X
V.n. Sin 7 II /
. KIND OF LINER ----L - 1/<,.. t\- SIZE
_ Draft Hood Regulafor _
_ Fi Ite,. Size _ I ( 14""? <: Numb.,
_ Chimney Location Insid. )( Outside _
_ Chimn.y Construction 6J \/(--
_MAKE OF BURNER
_ Mod.1
_ Mall. BTU Rating
_ MAKE OF FURNACE
Mod.1
'-/' ,
NON~
_ Smoke Bomb V Wiring 1\
. Draft T..t Tag
- Door Pr...ur._ /\ Lightinl In.t.
Idz'-\Io-.\ I
Dot. T..t.d
Company T..ting tl,"'Y\~ W1"rl,..,c=.~.' ~L.\
Name of T..t.r -;>,:L\ "".... ~.rrL........ ,