HomeMy WebLinkAboutMech Permit 05-0859
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
r. r; .oS-
1. Pink File PERMIT NO
2. Green City . Or-. ()a~
3. Yellow Applicant :;;J CI :;;1 7
(Please type or print and sil!;ll. at bottom)
ADDRESS
14371 ASPEN AV NE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z~ 7/1 4' .0 4-'4 . 0
OWNER
(Name)
JAMES KTMBER
(Phone) 952-44 5-A62 2
(Address)
14371 ASPEN AV NE
APPLICANT
(Name) RON I S ME.C.HJ. NT(~!L.... TNC'_
(Phone) Qt;?_LlLLC:;_s:lC:;AC:;
(Address) 12010 OLD BRICK YARD RD
~ (Address)
(Contact Person) L \rrlo..-
"PPLICANTSIGNATURE ~~C)?k~
\.J
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~Y,(l~V' ~ ~C\JACftO FUEL JVf::f
FLUE SIZE RETURN OPENINGS INPUT qb,O:U OUTPUT ~lroU
TYPE OF SYSTEM HEATING OR POWER PLANT
!=:J..TAKOPFB
M,N
(City)
c:; 1:\3..1..9
(Zip Code)
(Phone)
DATE
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3Q.q)
.50
'-\0--.00
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
paid-fo. (/l/
Date 97 oS
Receipt N04?tlJZ-
,BY~
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ADDRESS
/L/I7/
DATE TIME
SCHEDULED ~J-
A~ .',de
PERMIT NO. os:- ?,o/
CONTR.
iN OF PRIOR LAKE
,'lSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION ~H FINAL
COMMEJlTS:" / ~
-/4/) /~c.rcL /"&~rttt1C~
, /.-
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/;y-eU-../ CC;r/) 'e,- /-urh<;'-~ ~
-.~/ ?L/, CJ..# Fb ~
/7 /' _ /
~c -e/ ~ ~ J- CJy(<:~ /
~ ~ 1 ,/7
;:,?1~h~l.$_7-/iO~ //?r
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
..,
/y'<5 7'-
~ ;-
cP/t
/J/ /A /
U~J-e. /: /L
~ORK SATISFACTORY, PROCEED
~ ~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector: ~
1/ .P"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
ADDRESS
OCOJPANT
HEAT LOSS DATE HTG. INSt......
SOLD BY C oJ..., fEr ~) A/ r-
Electrical Work By
TYPE OF HEAT GA FA l/Hw
~1r)"~~~DE~GN
t;'flC V. - 1-);;
.~70~~ 1~7~t?
r {(!:) ,.OJ?~
, -
Val"e
Limit
Limit Saftl",
Fan Sattln,
Pilat Type
Pilat Make
Pilat Maciel
Pilot Tlmin,
L. W. Cut Off
Pre..ure 3.1..(;" Percent CO2
Input CF~" ~ Parcent 0
" , e> ..
Slack T .mp.::,c-r Parcent CO
Form 235
MAKE
Maclel
Sarlo I
INPUT
THERMOSTAT
CITY 4~" SUBUI
CORD
FLOOR
STEAM
INSTALLED BY
Ga. Line By
SPACE HTR. UNIT HTR.
OTHER
MAKE OF BURNER
Mallei
Ma.. BTU Ratln,
MAKE OF FURNACE
Mad.1
cx~
./
CONTROLS
Haat PI",
PI " XU
~ ((
V.nt Sin
KIND OF LINEP ("
Draft Hood
Filtan Size
Chlmn.y Location
Chimn.y Construction
SIZE
-~,ula'or
. -N1UQ.r
Insid.. ~ut.id.::::
h- t/GA/r-
,
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J. I 'tf-
r ICY I
/U/A P;fr:t:
U Dat. T..tecl
II~ 3 Company T..ting
?3J?I'A;- No.... of Tnt.r
\ _~ Wirin,
Y T..t To,
Jf11.~.. -. Li,htin, In.t.
. r-
)
n '
/
Smoke Bomb
Draft
~
/
Door Pr...ur.