HomeMy WebLinkAboutMechanical Permit 04-1246
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/l, Z7 04-
I. Pink
2_ Green
J. Yellow
~:~ I PERMIT NO'04_IZAL I
Applicant ~""
ase.!vp~ or orint and sien at bottom)
JDRESS
3904 GREENHEIGHTS TRAIL
LEGAL DESCRIPTION (office use ooly)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address) 3904 GREEN HEIGHTS TRAIL
STEVE SCHERER
(Phone)
APPLICANT
(Name' RON I S MECHANI CAL, I NC .
I ZONING(officeuse) I
KAfO
PID 25',/D2. OZ3,()
952-447-4930
(Address)
12010 OLD BRICK YARD RD
(Address)
SHAKOPEE
(Phone) 952-445-8585
(Phone)
(City)
952-445-8585
55379
(Zip Code)
(Conlact Person) _I \ n~
APPLICANT SIGNATURE . ~~
'-oJ -
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~REPLACEMENT D AL TERA TIONS
. LlRNACE MAKE AND MODEL ~'rm~~ (.j HJ ~A U Jr)()1)I4A FUEL "'61
FLUE SIZE RETURN OPENINGS INPUT lOb. (y)(J OUTPUT q o. roD
DATE
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Sleam
o Hot Water
o Radiation
D Special Devices
o Other Devices
OWarm Air Planls
OGravily
o Mechanical
DAir Conditioning
OVen!. System
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential. Gas Fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction), $64.50 Residenlial, AC Only
Estimated Cost $
Building Permit #
~4, 12-~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~.OO
.50
40.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
r Paid 4-0, UlJ
I Dale a OA-
rz-. Zo. .,-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
I '1.. 2.'L'~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Selbacks
$39.50
$39.50
$39.50
Receipt NO'.{8 & I iF
By
i/fUL-
I
DATE
SCHEDULED ~~~
J9aY 61ee/i //ff ~/
, OF PRIOR LAKE
..SPECTlON NOTICE
ADDRESS
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
[] SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
COMM~TS:, '7 ___
/~..o..4-c.-e d kr~t"{?
/
Lrr)u--f", j
/
(' )/Se,-r
/
(~~~{)n~ A:-
---
/-Ur /1 ~ C e.
~(//C
TIME
c:J9'- /..29'6'
o EXIGRADIFILLING
[] COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
k~
~ /
,/")/(.,
Y~ORK SATISFACTORY. PROCEED
'~~ORRECT ACTION AND PROCEED
o CORRECT WOR~~' CA L F REINSPECTION BEFORE COVERING
Inspector. J, Owner/Conlr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
.-oTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
H HOUSE HEATING TEST RECORD
?fit) I CI'f:EI'Vf.!Q'If.(j ..,../, APT,_FLOOR
,
OWNEP.
ADDRESS
OCCUPANT _
HEA T LOSS
SOLD BY
EI.ctrical Work By
TYPE OF HEAT
DATE HTG, INST,
CITY aJ.~ SUBURB
,
INSTALLED BY
1. ","'" I Go. Line By
GA _ FA JL......HW _STEAM _SPACE HTR, _UNIT HTR, _OTHER
MAK~
Mod.1
$.,101
INPUT _
A! f'Y/5rfJ;S DE~IGN ,
GI /!/OJ ~ f,;X ;)1 '"flY- t:A
<;jh(?"~
100,l!>l?r)
THERMOSTAT
CONTROLS
Heat Plug
Val....
Limit
Limit Se"ln9
Fan Setting
Pilot Type
Pilot Make
Pilot Mod.1
Pilot Tlminl '
'_,W, Cut Off
...ut. ~~ Percent CO2
CFH CD Percen' 0,
"..mp. { P.rcent CO
ft
vc-l
I rvr
1 J()<;f
II f -ik--
; )'VI'~ -r::-
7rl
f(:'A
.,' 11'11
_MAKE OF BURNER
_ Mod.1
_ Max. 8 TU Rotl n,
. MAKE OF FURNACF
Macl.1
CONVERSION
\ /"""
"-/
l'...
/ "
10 ((
V_n' Siz.
KIND OF LINER - - SIZF --
------
Regulator _
In~ Out.id~
f'7 -} /'IF flL,7"'
'NcJPitF
r--
_ Draft Hood
Fllte,.
Sil.':_
Chimney Location
. a..imn.y Construction
Smoke Bomb _
. Droft
_ Door Pr...ur._
>:
_ Oat. T..t.d
_ Company r..'ing
No.... of r..t.r
~ Wiring
/' T... Tal.
;fJ t/ghting Inot,
. ~.ft,I'5- fl1~tf
~OI _~-'"--.'