HomeMy WebLinkAboutBldg Permit 04-0974
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Main File
q
g-oLj
I. White
2 Pink
3 Yellow
File
City
Applicant
PERMIT NO. 04-.0974-
(Please type or print and si~ at bottom)
ADDRESS
J 14'-18 UJurr;,. ~J d. Dr'i0€. 8[;,
ZONING (office use)
JeZ-
LEGAL DESCRIPTION (office use only)
LoT/2 BLOCK:L ADDIT";o~\e.i d ~ / r
PID zS. +07. 03Sr 0
OWNER
(N ame)
(Phone)
(Address)
BUILDER
(Phon,q5~r:t8S-1M~
(Phone)(q5~ \Z2{P - <1732.
S/3Jycj' f VI
TYPE OF WORKANew Construction DDeck o Porch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection 0 Misc.
OLower Level Finish
o Fireplace
CODE: MI.R.C. DI.B.C.
Type of &nstroction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST/VALUE
(excluding land)
$ J dn,C6 1, 00
I
I hereby certify that I have filrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentIOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
offiCial can revoke thiS pelmlt for Just cam": Furthermore, I hereby agree that the CIty offiCial or a deSignee may enter upon the property to pel form needed mspectlOns
c:::~ I ~~ -=L~~~y ~CD0t5l.p57 9---'l-DLj
-j-' () SIgnature Contractor's License No. Date
Permit Valuation -If /7'1. t)O D. Oi Park Support Fee # $.
$ 1~9~, 50 SAC ...~ # $
$ 'il''-I.t.f, bIT Water Meter (Size 5~ I"; $
$ ...., ~ Pressure Reducer $
/0, J ()
$ - Sewer/Water Connection Fee # $
$ l{)o,t)t:J Water Tower Fee # $
$ / (J tJ. 0 () Builder's Deposit $
$ , c35". 5""0 Other $
$ L(O.{)d TOTAL DUE $
Penalty
/35CJ,t)CJ
Z'5tj , dc>
4$ , fJ 0
1"2..00, 00
700, 00
1$:"00,00
Permit Fee
Plan Check Fee
State Surcharge
Plumbing Permit Fee
Sewer & Water Permit Fee
I
I
1,535. If; I
, .
Mechanical Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ UIU ~/e?'-7;{Y
Building allicial I Date
Paid Jq &:'~5." q
Date. '/ II I ,,/t, &/
, f
Receipt No. If 7 Frt(
By ~
r-
ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constitutes a,emporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i~?~ 94-?6~ ~ a-L( J
Planning Director ' Date Special Con .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
C:White" - Suildin9::=:>
{;anary - Engineering
Pink - Planning
The Crnll"r of .he' t..kf Count.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.D. f2.. H O(G.,( ON
g,B~04-
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17 4-4-5 D65f2.,FI5LO Dre.
Accepted
Accepted With Corrections ~
Denied
~~
~~
Date: 9 P 7,h q
~
Reviewed By:
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Main File
White - Building
~~nary - Engineering
Ci "nk - Plannina)
The ('enler of the Like ('ounlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
J~_J, 1- , ~._j ('._IC ,J
.
APPLICATION RECEIVED
I t' f/i~
/.1'.( '.r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I I ' , (.
J ii-'r C l" r \ r ILL L-/ t 1',,-,
Accepted
Accepted With Corrections
V'
,. Denied
,.
Reviewed By:
~~
~~
Date: J~? ~ '-/
, , -
,~~
(.)
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Main File
Th. ('.nlor of lh. t.ko ('ounlry
~ - Buildina
~anary - EngineerirlQ)
FSinK - t"lanmng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
J.~~.:. l~~~
'.'" J
fet.,
i-t
! i
APPLICATION RECEIVED
/1 c; r
I - C - v
/1
.:..r-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i-I ,Ii -ii-, c"" '---. ,-- " ',--., ,
, J ~ l V ~) t:. i~=-i t~ i_ L/) L_~)I(- .
Accepted
)(
"
Accepted With Corrections
Denied
Reviewed By:
()1T/ /3
Date:
Comments: See Reverse Side for Additio.nallnfnrm~tinnt
/Yb,/;'\ F, ((
/ - 2/-0'-1
See Attachmenh~ 1) Grading Plan, 2) Erosion Control Measures
liThe issuance or granting of a permit or approval of plans, specifications and
computations shatl not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the Jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
09/30/2004 THU 16:09 FAX 6513226147 GENZ-RYAN
14I 002/007
Date Rec'd
CITy.oF PRIOR LAKE
SEWER AND W AIEl<. PERlVllT
(Please tYPe or priDt and si~ at bottom)
ADDRESS ' ,
t1~L, ~ tXfJQtl' p.(r:L :>/~ h15
I, a.... Fil. I PERMIT NO ~~
2. Yellow C"..y ."
J. Gold AppllClftt
ZONING (office use)
LEGAL DESCRu- nON (office use only)
LOT [7- BLOCK ! ~DITIoN ~c2)0h el{el / ( in
PID
OWNER
(Name) DR HQr""'''' f"..{'..'Jm Home':'
(Address)
20&.00 kv16K\l'f-P. Q- s,p_J(,)[\
(Addxm)
(phone) _ QS2-Q85-igo()
. La~\J i\ Ie.., f5W--l Lj
(City) (Zip Code)
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail
Rosemount. MN
(City)
55068
(Zip Code)
n (Address) (:-
(Contact Penon) . 1\11 ~ s b -r a 1fJ. ,.,
"':JCANTSIGNATURE-L{ Fri:tj.-/) , () 1'L/;
(Phone)
DATE
651-423-1144 /
q /?AJ J fi-t
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 pvc 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35,50 Industrial, Com'l & Multi-family 1% of job tost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND W A 1ER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
r" ..;';'~jr .'.'.
..." ,.J,; ;"" . ..,,;I 'Ill: 'J""'- .
,,' 'e".,,-. i 4J
.v ," 'fit:; pC;"i#
, "'~'/;;rr
..-~.~ l0-~ ~ \1J ~ ~;ptNO
te OCT 0 8 lUU41 ~
Dare \
Z4 boo, '"GOO roc.u '''p"ti." (952) 447-" : fax (952) 447-4245 :.:l
By --:;;::- --
$
$
$
.50
(Offic.e Use Only)
This Application Becomes Your Building Permit When Approved
\
'--
Building Official
09/30/2004 THU 16:09 FAX 6513226147 GENZ-RYAN
l4J 003/007
Date Rec'd
CITY OF .PRIOR LAKE PLUMBING PERMIT
(please type or print and sign at bottom)
ADDRESS
11LJLfs< IXLI~ftetet D7il Yf
I, Slue l'ile , PERMIT N~ ~ enJ I
i;::'~ ;;;,- -," r ~
ZONlNG (office use) ,
LEGAL DESCR.u- 1 LON (office use only)
La; I~ BLOCK (ADDITION ")fl~..e t rL / 117,1 j
. \J ' -
PID
OWNER
~ame) DR Horton Custom Homes
(phone)
9S2 - q ~ FJ -78lJO
(Address)' 2.c~loD lLb1BJtl DGe... er Sre no
u( /u..vi I IG t-U N 5fu~ t.J
APPUCANT
(Ncim.e)G~tu:-Py~~ P111mbitl.fl ~ 'f.l,,~+-~~C
(Address) 14745 So Robert Trail
(phone)
~C;1_li?'_11L...1.
Rosemount
MN
55068
(Zip Code)
fA (Address) f;-; (City)
(Contact Person) 1:,)11 rt( Vh ~l (J l ( ~, ,/) (Phone)
I APPLICANT SIGNATURE ( :/ f-tlf:fx ) '-:fd1J! /j
DA~51-;;/7~410( I
F
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture Quantity Type afFixture
I I Bath Tub with or without shower Rough-ins
j J Dishwasher I I Water Heater
I I I Floor Drain /2-+ I Water Softner
I ,'0 1 Lavatory (Bathroom Sink) ] I Stand Pipe (Washing Machine)
I I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I :;2. I Shower Stall I Backflow Assembly I
I I I Sinks I Backf10w Assembly Test I
I I Bar Sink I Lawn Sprinkler
I ~.~ I Water Closet (Toilet) I Other
FEE SL.tI.j!;DULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
Building Official
$
$
$
i
~~ ~ [E 0 W ~lPtNO'
I "\ ' '
Date , 9lj\jUL I U 8 zuut BrJ
24 hour notice for all inspections (95.'2) 447-9850~gy (952) 447-4245
PLillYffiING PERMIT FEE
STATE SURCHARGE
TOTAL PERlVllT FEE
.50
t~~ ,t., ~~'~':: ,:~~" ;.
{" ~.!. .J~ ,)-. )
'~v'~;" ,t': _:,,~, ~;I;~ }l~"
......;;{~:i' ":,: "7
~ ~""'~,
"'. .'nlf~
"'.ill
(Office Use Only)
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
llliA TING/AIRCONDITIONING/FIREPLACE PERJ.\tu 1
Date Rec'd
+~() ~ LI
Wlease.ty[)e(jf.orintand sign at byu.U~)
AI)O!tESS<.
\ '1l..\L\~ . \\e.<;.. -(' ~\ ~\,~
i ~~ ~l~icant PERMITNO~
ZONING (office use)
'0". :5 2-
LEG.AI..;DESCR1PTION (office use only)
LQ'rlc}..13LOGK'~ ADDITION ~c..\."'e...... \\
Q~RDRHORTON
(Name}L 20860 KENBRIDGE CT
(~~~~~,)/ LAKEVILLE, MN 55044
~.
PID
(phone)
~trz?/AI~C~t./Adj)-~
(AdcfressJ'~6ZJ ~~ tJ '/JJL'
(Cdri~Ve~n) A~:Ji/~
Al'PLICANTSIGNATURE .~.:t..~ " )~-' -----
, __.,_ - .'. C"_ .' . . _ #--
(phone)~5.A 4/f-?- .I';?7.:S-
;S;~~ ~/d...7
c-<(~, (Zip Code)
(Phonej;~-- ,~-~ 77.:5:.
DATE
',c","'::
:.',,". - - "- ,,-." '-'-" ',- '-'-:'
. . # An~LICAN'FPI..E.ASF.iCOM}lLETE~F.~Q:W "
~~~EMAKEA~::~;~~,!1/~~~i~~m=~'1a ~;4
FLuES1ZE9'M~ RETURN OPENINGS i;("'INPut~~~ OUTPUT '6Z-, ~"
TYPE OF SYSTEM HEATING OR POWERPLANT
DWann Air Plants . OiSteam
o Gravity DH()tWater
o Mechanical o Radiation
j:i\ir Conditioning [] Special Devices
~gyent. System 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 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
&tllnated:~::BUil:::;;:~J.\W- W nH
STATE SURCHARGE $ 'l, .S'BlJILDmG
TOTAL PERMIT FEE $ ?' ' . .
(Office Use Only) ~ 1
This Application Becomes Your Building Permit When Approved 1!~H~ 11{11L~ '\'U~f ~'r..eceiPt N"
il r.{ I
Ii,' f>a~CT 2 2 2004 /)1 By
Building Official Date : \
24 hour notice for all inspections (952) 447-r!!~O, f~~g~=~47~~_4~;:::..""..,;.
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /'7l{~8 ~~ /)~. ~t-:
NATURE OF WORK /Jel,ltl r~"c:tDN
USE OF BUILDING S.J; A.
PERMIT NO. 0 'f-" 0 9 74- DATE ISSUED ,h. ~ liIII
CONTRACTOR ])fl. ""IIl.TaAJ, I~, p~"RM"0z
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
-
'FOOTING ~ /6'/7/~
, '-. {
FOUNDATION (Prior to Backfill) j1t1t//JJ VVfi'//5 ~ I /~~7 /f.l7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~ /t' P 7 /ul
FRAMING M~ /,1/~/"il
INSULATION #/4 /.z/i--~y.
ELECTRICAL. . /~/~/qt/
PLUMBING ae /t~~y /h"L ffff /~// /CJ~
HEATING (if required) ~ ///.2.J //y
FIREPLACE . II ff ,
GAS LINE AIR TEST 4/~~~ ~ ///2J~Y-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1AnJL/ /llUrltJllAl' I I
FINALS
. GRADING (Prior to Sodding) .', rV r S
BUILDING~~4,~/J, t/'111 cV~~J -2P;~""
ELECTRICAL I
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
~
>>tfI
q, :i-J or
. fij!l6'
;/;1'/05
.,2 /lCl/Ci5'"'
,~;)p ~r
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
(tl~rfifiraf~ of <IDrrupaurl!
CITY OF PRIOR LAKE
~epnrfmeuf of ~uil~iug JIusperfiou
~Final Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 04-0974
Use Classification _ Bldg. Permit No._
~ ~ ~
Occupancy Type _
Type Construction
L12, B2, DEERFIELD 11TH
Legal Description _
17448 DEERFIELD DRIVE SE
Site Address
D R HORTON 20860 KEN BRIDGE COURT, 11100, LAKEVILLE 55044
Contractor's Name & Address .. ' , ff
ROBERT D. HUTCHINS ~~;I
/"~;!:7 - City Planner
'_ / Buil<J,ihg Official
0/ 2,..f""/~- Date:
,/' r
Owner of Building
JANE KANSIER
Date:
~ll
-,
I A
. ,.".:.,:,,,'~Ji."..;,..,..-..\ _,__,.",,- ~.,j,_~"'ld
DATE TIME
CITY OF PRIOR LAKE Q /C t>- /
INSPECTION NOTICE SCHEDULED ~';/ar-
ADDRESS / 7~ - / 7452.. .DEE.eh El-t::)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4- -974-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ZFINAL
/h SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o M~<t FINAL
S/ I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
#
~ /
/lA~/
./
OK.
/-:::=--- ~
/'.-t;/ t'-:- /.))
( C-/ ~.re. ft- ~ ~
rORKSATIS~ ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ : Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INmon
0... TE TIME
CITY OF PRIOR LAKE ,~h/.L':
INSPECTION NOTICE SCHEDULED ~raJ -
ADDRESS / 7ryy ,aer~/cI d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
ar- 7'?y
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~t9's: /'
e-/ 7Y ~/-J
/ . /
(3J A'-tOt:,/ h-Z", / 6;; d~ ~;"'-'c. /
{ifA/:er/ <J, i -r 7.kES
/' / /J ul
/%/dSur Nc~ ~~4-V
-b~
, ,
-
t"-: 0,
CJ~
/ ./'
7;f/
//
P:/(1J
/
/.
~RK SATISFACTORY, PROCEED ~ c....
CORRECT ACTION AND PROCEED
, 0 CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector: ~ / ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
!J-')J-eJS
OWNER
174~~ ~erh(~ D~
CONTR. J)..l. Hv-brt
PERMIT NO. -Pl./-5'1 l(
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
:Ji'"RNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Gr~f-c;K-
&(6 &1"- 0 L
srr
JfwoRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
lNSNon
DATE TIME
SCHEDULED ~~-5'-'
/7L/9"J7 &erA/~ /t
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
"....B-1'LUMBING FINAL
~CH FINAL
6's/~97~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ./, /
cze C/;-/ 'C'7' I hk" / (tc; ~ t',
~~,~~~C; hh~ /. tP!':
(2) ~LtI/ ~ '/u ~.5~~-f
dr:~~ J+hee / ~/[ ~
lEe {(p [: c?' d CZ!::i.rq .'7-' h;/, /--
{P . W. .4~ ~ Son <<4 /~ ~i;u-
q fd uV' e.v".,~ ~ L(
, A d ~". ,../ ~ .........4,"....... f'
,- b -I- JA;r;...s "/,
/u~/ ;,,-. /~/~C7S2;~
/ J
///f" h r-
. #'
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
/:...... .~~ORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~/ Owner/Contr:
'""
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor .A II-hf" tY ~d {.
Name of Tester C .J.. 90-- J
Date .12/~ 7 lac.!
Job Address 1/111( Y l).c'erC ~(I
Heating Contractor ...Al1:''''J. r:;, '\;~~dl.
Name of Tester ~ ~
\ "JtW"{
l). ~'/d
~ ,1/-,
~.P~
~ '?S ,. t--
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 V~
input <r;o, rJrJ6' [(IV