HomeMy WebLinkAboutMechanical Permit 16-1095 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /111 Gc•
ADDRESS 51 1 k, ?,rekt,,l- L
OWNER CONTR.
PHONE NO. PERMIT NO. `(j---01K
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL. 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION fir.MECH FINAL ❑
COMMENTS: F'„,„ g4,1,....
WORK SATISFACTORY,PROCEED
❑ CORREC ION AND PROCEED
il
❑ COR' of
,!'ALL FOR REINSPECTION BEFORE COVERING
Inspect. Owner/Contr:
CAL-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
CenterPoint.
House heatin test record Energy
X95
owner R t-(z-x,a /vE- Controls Conversion `+
Address X ?4, A;44Cu a Apt Thermostat ted-2 02 G Heat plug Vent Size /2 L'(2
City/rt p✓ 1,4 Valve IQ. ics Kind of liner/size '—
Heat loss Date htg.inst 10 r-t' Limit Pi Draft hood „.71V1=6 Regulator %-------
Sold
Sold by CenterPoint Energy Limit setting ( a Filters:Size/b)(LS( (Number
Installed by CenterPoint Energy Fan setting ` 1 y 6/ Chimney locations: 04137de ()Outside
Electrical work by CenterPoint Enercry Pilot type $('(r 1. --- Chimney construction PVC
Heat type ( 'Ft 0 Space heater Pilot make Wiring -"----- Test tag
Gas line by "~ Pilot model Lighting Inst ''i Date tested
Unit Dater —Other ^— Pilot timing Company testing C nterPoint Energy
Pressure:Hi fire/Lo fire 3,S / 7 Tester's name % 6-:/---3-- ?2�?
Gas design
Make 4 c 4
Model f 6 Oso n-7 Percent CO2 y
Serial no. k) („3 1 � p_5'F j Input CFH 7 Percent 02//1 /p
r� Stack temp ,0 w Percent CO j�o j++
Input /���d
CNP 235(11-2008)
on.!:4—PR
pRlo��
CITY OF PRIOR LAKE Date Recd
z3
iN rHEATING/AIR CONDITIONING/FIREPLACE PERMIT
` ivESD�
PGreen City ink File (�
PERMIT NO. /� /'.51
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3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
5794 BIRCHWOOD AVE NE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 252050290
OWNER
(Name) STEVE RITCHIE (Phone) 952-200-7024
(Address) 5794 BIRCHWOOD AVE NE
APPLICANT
(Name) CENTERPOINT ENERGY (Phone) 763-512-2765
(Address) 6161 GOLDEN VALLEY RD, BLDG A GOLDEN VALLEY, MN 55422
(Address) (City) (Zip Code)
(Contact Person) JOANN ZINKEN (Phone) 763-512-2765
APPLICANT SIGNATURE 2V1 J1.41, /1/4f. feJP DATE 09/19/16
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ®REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL RUUD U96VA0702317MSA FUEL NAURAL GAS
FLUE SIZE RETURN OPENINGS INPUT 70,000 OUTPUT 67,200
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
['Gravity 0 Hot Water
Mechanical into Required Side Yard Setbacks.
❑Radiation Fireplaces with Box Additions or
Air Conditioning 0 Special Devices
OVent.System 12 Other Devices Cantilevers to the Outside of Buildings
FIREPLACE MAKE AND MODEL I I
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only
Estimated Cost$ 4300.00 Building Permit #
HEATING PERMIT FEE $ 49.50
STATE SURCHARGE $ 1.00
TOTAL PERMIT FEE $ 50.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 5?) 52) Receipt No. 965-
Date Z3 By
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372