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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........ ,