HomeMy WebLinkAboutBldg Permit 04-0732
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
(Please type or print and silPl at bottom)
ADDRESS
10B~
}L OPr:-
HE:l6JJjJ
LEGAL DESCRIPTION (office use only)
LOTi ~ BLOCK I ADDITION
I. White
2 Pink
3 Yellow
File
City
Applicant
T~A~<.
TJ! MBEI LR.G'S?-
PI1Il. /.(.
OWNER
(Name)
fuL.l'E' /";'OM~
6(~ PtJ/.,rllWEfT
6w..l~ .
I11JVL WJtLJ 14D
fl1~AII.I
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
5-1111 t:-
L.v/l r 131.. .1S LHLo
(Phone)
(Phone)
(Phone)
Date Rec' d
Iv ;;;)5-' Ol(
PERMIT NO. ()+. {)13Z-
ZONING (office use)
--p L{ j)
PID;25 "/jOJ- ()/.j3- c
C.~I "4t'2 -S2~
It1U $'S-/2/
(.p12 - Zz I - "'fer
/
TYPE OF WORK I!f New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE:~.R.C. DI.B.c.
Type of onstroction: I II III IV V A B
Occnpancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
.:89~. O()tJ,OtJ I
$ '/OZ7, S7J1
$ " ft, 7, 1't I
$ if r. ~{J
$
$
$
J$
I $
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
IOd, {) 0
/"'0,00
3 s.. s-o
,/tJ . 0 0
This Application Becomes Your Building Permit When Approved
~o,~ 7j~~<I
PROJECT COST IV ALUE $
(excluding land)
Park Support Fee
SAC
Water Meter0ze"s/.01";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid '7 flbJ fr
I Date 1., 2-{"Q I--
$
$ I 3$ 0 t O{)
$ 2so, 00
$ L('S,c') 0
$ I 200 . 0 <)
$ 700, DE:)
$ ICSoo, ~H)
$
$'1 ()(,3,~
,) ./
I Rer/eif,t No. ~LdC!
I BW/.- .
o
#
#
#
#
'1 (,J t)OO
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 requcstcd. This docur
~=""'''~"' Ccnffi,," of ,"mo, ;"10:' ,"~c wm~i"o '" wmmv~aInPilecro~m~ mo
Planning Director 2/.1J: Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main F[e
White_ - ~uil~ing
(. Canarv - t:nainf!erlnQ::)
Pink - Planning
Tht Ctnl<< ollht takt Counlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,L,.Ck2..";!~;(_.
"
('1'~"~2/i/t2.",~,;~~/
;'
I/!'
."'.'- /, /' I .
r/.,''''''~/fr'
;'~~ !._/",.t...
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which J;:; pr,oposed at.
I / '? C' / /:P.i .t.<' >\/:7'~.~ "'::;;,'L~../'
'--l (\ .) (,t.? /::"..:.., i'..... r\ I I /-.... " ') ,..../
. ..~. /L.J . . v ,
Accepted
x
,
Accepted With Corrections
Denied
Reviewed By:
M1/<
Date:
/-/) -oL/
Comments: See Reverse Side for Additional Information!
Mer,'" Fr 'I c .
~p Attachments: 1) Grading: Plan. 2) Erosion Control Measures
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
Canary - Engineering
,.-t"'mK - ~iannl~
The Cf'nlrr of the take ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ '/J__e-l<..~ '7., I
/ A. ,./:).'., .) -(./ 1/
L1/ -
~
'.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is p~oposed at: ,
. - ~ I.. f j'" ...,t ~
J / 0 ( /...'. L- '! -j .. . /1
l..) ,(i ) C,_(l>"~~'\ /iL) ,:.'./ [
I,.)
Accepted With Corrections ~
Accepted
Denied
~
Comments: ~ aLl ~~.
- u
.~od~ d,~d~
Reviewed By:
..
~~
Date:
~h.y6 t/
~ ~.:(?PJ
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."
~ain File
"'--~te - B.u.iJdinCf"::>
Canary - Engineering
Pink - Planning
Thf Cfnler (If Ihe take ('Ou"1r)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PdXc ~
M - d-S-ot/
""\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construct:;l ;g:Z WhiC~d /UtJ ~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
Comments:
('
~ ~-,u
Date: ---2fL.s/!J ~
"The 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."
CITY OF PRIOR LAKE PLUMBING PEAA1.l1
Date Rec'd
1~ ~f~O tf-
(Please type or print and si2Jl at bottom)
ADDRESS
./ ~Q-''' / t( qg ~, t./ Q 0/ 0 I L/~ 9 d...
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(j) ~/k
~
(Address)
I. Blue File PERMIT NO ~
2. Gold City '()/ / _ -7 3
3. Yellow Applicant "-(' /
AIlJJ-L 140-
i')/)
ZONING (office use)
PID
(Phone)
APPLICAN.Tj' J
(Name) VQII-e....'1 f'/~h,'h.::J -/-,.., C. (Phone) 95",;;-t..t9t5J-01/C9/
(Address) 8(00 0?Lt~ k--e_ A v-e.. ~c:N--d~ J1 AI SS c3"s ~
(Address) (City) (Zip Code)
(ContactPerson)C-hr., f\ 6r,....~'5 (Phone) S'~ ~
APPLICANTSIGNATURE~f};:::? ~4"."---. DATE 7-~8"-o~
V
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity
I Bath Tub with or without shower I
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
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 # 04- 0 73 2--
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid
~ ~ ,rJ
1, J8- L(
By
e?
CJ/
Receipt No.
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Jun 24 04 11:51a
~p~
(~r;\E)
~NE~
'--
01
METRO GENERAL SERVICES
763-428-2968
p.4
GREIN - flU!
Yl!LLOW . APPLICANT
GOLD. CITY
CITY OF PRIOR LAKE
SEWE~ AND WATER PERMIT
FA y... ~5~ 'I" 7-1/" 'Ir NOTE:
S.w. No. (J~. ()13Z-
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (hdkl) J~{ ~PNE: 1Ii1,3~jllg,Jt5F:
ADDRESS: /1140 qlJIU1t /k.;.e, 11'- DATE:
./}f//,. IZt/IfL::f;() BLOG. PERMIT 11
SITE ADD~ESS:- 400(d!:fi:~r:::;K~ PION
/5() feet.
SIGNATURE:
1.
Estin.ated length of water service
Size of water service I'! inch (es) .
2.
3.
Location of any couplings
from structure (OJ
pvc 4 it cast Iron
!)() feet.
feet.
4 .
5.
6.
Type of sewer pipe.
ABS
Estifated length of sewer line
Clean out (if required), located
stru:ture.
at
feet
from
ilIA
~~;===~=F============~==;=;==============~=======;====~===========
This application becomes your permit when approved.
BY
DATE:
':';-'":1:. #:1:-;::.':
========fJ;JT~=~~~=====~=======================================
FEES: f1'tdJ P~~!/'1-" 1- .. . ; Sewer and water line connection perrni t.
., ,Surcharge
IJ a re.e- . TO'I'AL
*
individually is $20.00 plus
*
'"ts" issued, for new construction must be
ing permit card at the time of issuance
licate sewer and water permits are
1 .....
,I: ~I...j~"'..}tf"'~\~: ~ . .~. , "~
I' """:-"'i"~ . ,DATE-"PAL
.~r .:S,i,.},).:. ,:':~:. . . ,......... . .'
'(,>~';T' ",R.ECEIPT ':It
'~~'.;':~. .. By--=
AMOUNT PAID
- ;'rJ<~:::~~- I.t-G'~'Cj..:
REC I D BY . " .,Jlo,,,;S ~,-":"'" ,~~
. '- ; ',~.
.,'::.'....: . '
;.::i-:;!"::;~;',, , ' '.:
f:;<~::;\;::,"16200 Eagle:rreek A v. S .E., Prior Lake, ':Minnesota 55372 I Ph. (.'52) 447-4230 I FAX ('S.2) 447-4245
An Eauat Opportunity Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
;952 894 0925
# 2/ 9
Date Rec'd
(Please type or print and siJttl at bottom)
ADDRESS
L(~2{P ~h~r(' \-\ \.-~-=r.(~
I. Pink File PERMIT NO'04-.0132-
2. Green City
], Yellow Applicant
~'
ri:
I
I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I
OWNER
(Name)
~l.bQ..~ -\-\0 '-"Y\-e....S
[) -.tilL{ 0
XI s ~(j'y+h\ues-t \-'LL01 ~ I ~_~CLx\
(Phone) (0'::> I - 0 S7 - S200
(Address)
~{V)
SSI L J
APPLICANT
(Name)
Burnsville Heatina & Ale I I ~
12481 Rhode Island AVe. So.
Savaae. M N ~~~7R_11?,)
(Address)
(Phone) .35 d - S<' C[ L/ - CC05
~.:';.;:;
".;;:,"
~f;
~%f
::::\~:
(Address)
(City)
(Zip Code)
;:':':.'::
::;.,:,:.,~
(Contact Person) (Phone)
APPLICANT SIGNATURE (~/.i~ 'B f\l241f7a ~1.C:!.l/1 DATE
11- / 7 -()Lj
APPLICANT PLEASE COMPLETE BELOW
. O?J'NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 10/111(;'1' f:-5/ A-.ll:.) - d. Ll /3 '. {Y-j S FUEL l"7eLI Cj 0<....:1.../
FLUE SIZE
-
RETURN OPENINGS
TYPE OF SYSTEM
DWann Air Plants
o Gravity
o Mechanical
[jIAir Conditioning
DVent. System
5 INPUT L15, O{)O
HEATING OR POWER PLANT
o Steam '
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT 4/, L/ (){)
PLEA~ENOTE:
AirConciitioller.Units
Cannot Eocroll,ch into
Required Side Yard
Setbacks
I
-~IM
Ie
".:;:':
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
!
I
#.~
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Penn it #
'~'.'P~
. :}J
.....................i/ c.Gi(1.~~
(Office Use Only)
..This AppllcationBec:oDlt:SY our B~i~~i~grerllli~\\,hen~ppr()vecl..
". ,:,:,:-.:,,;,:',:;'::':<":.::'::"'::' :'"
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake,~5S372
Main Fit.
PRIOR LAKE DEPARTMENT OF
· BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS #88(., *'81.urF ft~&H~' 7JA,L.
NATURE OF WORK . IJS ~ ~,.J~t::riiJ~
USE OF BUILDING S.r:- A..
PERMIT NO. (,)4-,073z. DATE ISSUED ~/iJ"
CONTRACTOR PkLrE 1fe1He$ PHON~/,...tZI-nrs
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE I
//.2.1/0 l'
, , ,
, FOUNDATION (Prior to Backfill) a--""l'lJ ~f1-// /'-?"~ I f/-1;/b.o;
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/rHo
/JNI
jIV'J//
INSPECTOR
FOOTING
f/#-
.
;7~"/CY/
R//I~~
14' b'J-tAl
/~,.z1"'5Ir '
/JP!- . /7L/Sft Y:
/#?- I /~b//tJI/
/
, .
'GAS LINE AIR TEST~Jt., jJy~/ r I. ~ ~ ,z/2/(~r
.. , / -"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Jtif /Ii I J114 I / :l- /J )1;';
FINALS
GRADING (Prior to Sodding) I . , If/ IJ .
BUILDING7-e:-1"1L1.CtJ. v/Z-f;/ tp;6:,~ ~2.L/ILf
ELECTRICAL ' .
;?
PLUMBING ~
HEATING 1114
DO NOT OCCUpy UNTIL ABOVE HKs
NOTICE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ii,~. ~i rk%/:1
HEATING (if required) . \
FIREPLACE
I V, ;) "1. OY
. ,
/ /..2h/CJ~
@Y/os-
./ /~/tJS
BEEN ~IG/NED
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
}"
..
aIerfifitafe of Q1}ttupantl!
CITY OF PRIOR LAKE
/ ~tflarimtni of ~uil~ing Jlnsflttiion
~ Final Permitted D Conditional C.O. Expires
I
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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:
Occupancy Type
R3
_ Type Construction
VN
Fire Zone
Bldg, Permit No.
N/A
() 4--. 0732-
pun
Use Classification
SINGLE FAMILY
Zoning District
Legal Description
L4E, Bl, TIMBER CREST PARK
Owner of Building _
Contractor's Name & AddressPULTE HOMES, 8 L5
,,f,//v./
ROBERT D. HUTCHINS ,?j//,l
. Building Official/I
Date:
Site Address
4886 BLUFF HEIGHTS TRAIL SE
NORTHWEST PKWY., SUITE 140, EAGAN
55121
City Planner
DON RYE
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/frl'(..tJr
ADDRESS ---1.p9.' E1v{.( h b 1f'1
OWNER CONTR. PtJli;(: ,J-/DI'Id
PHONE NO. PERMIT NO. o'-l-7JJ..,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ :~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~1FILLING
"'0 C~INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: _
(;rJe-(9 t-
r t(J/6 8"N- ~
Jb( WORK SATISFACTORY. PROCEED
V' 0 bORRECT 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 & SAFETYI
INSNOT/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
d~~
I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
p?/' / - ;-
h /~C rr'C-q I
DATE TIME
SCHEDULED ~~jf-
/.{~ #- #h 7//
CONTR.
PERMIT NO.
o4-7~2
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,,-- /' /
h' h &, ( (/t?'-?
/ ~
(/~~~--
~ /
/-;h~ (
;::;;::J /-
UlL
---r-:- -- fi) /r./ s - / /".-
/-r;~#! (.. V U,h 1;7 o///o~~
/ / -
.~.-1) ;V-i!:J.~~a.1 qrc..'/: e:z/Y/:JrGu.,,/
dP) #e .. sod /,..... "7;e6/
~d_
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WO~KY~~;lR R/~INSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTl
ADDRESS
DATE~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE. SCHEDULED / /..1 Or
SlfR6 IJIufP /l / if
if-~ ; ~.60NTR.
I
OWNER
PHONE NO.
PERMIT NO.
tJ~ - ;u 2-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
[J WATER HOOKUP
[J S~R HOOKUP
Jit:'lf[UMBING FINAL
[J MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENJS:
4/Ptb - /
//;)4,pl I~(C~
(E) A/~e d;- tuq~Y
CP '4/e~A ~u
~~_r
..- ./ /
~/OJ"e/-
#/"~ rer-
/
c/ --" I 7S
/',;-
g;
/ r
~rCJed
/U' / c../
.:,,/ / / /
~ e '2 o~ (.., fC"'- y---crs ./s
/1/'
u/'-
~/ / ......, . I r
L it-ec/t ~ /~I/rJ/#1/i. hhq /
o ~ORKSATISFACTORy,PROCEED - - ./~~'/ I
~CORRECT ACTION AND PR EED L----
/ d'eoRRECT WORK, C REINSPECTION BEFOR COVERING
~
/
Inspector:
Owner/Contr:
f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~~~,~--
(~b- & IP /&4 71/
V . , .
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
o FRAMING
o INSULATION
o FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
o WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
6 r- 7.-1_2
D EXIGRADiFlLLlNG
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~SLlNE AIR TST
o
COMMENTS:
~./ /- /l /
~n8'P1~ lYr ~~.
~-S"h~s ~/Aj
~rVer- r- '^-///
/ ~/.
C/CC-
_(7 ,-
~ce/U-e rI
/
C/r...r ~ r-
~ /'
/-7h~'/
.-.., /
C/~
II
,k'r-
/' /'
/-e .s- ~
~RK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FO REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_OTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
BVftN~".LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378 · 952-894-0005
Ors1at Test Report for Jobl 1.0 qO I
,.
-r IZ ti'~ i* lur< LA t:c
Address L/BStt> &.urr Ilt..i~1I7 s
Occupant
Date of Install
Type of HT. F/A./ HW
Other
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
Stack Temp
Space HT Unit HT
I~
lE. kJ IUC '"
G.L\':)u(~ ZL(f? -i..Y-I,(:;-6!
5'10'JI2"3 \~.:)
q 4, 000 f2;Tl.l tl
HOT SURFACE IGNITOR
3S IWC. C02
~ 4- 02
104 CO
~- /
In. I
10 f,lJIb-
Date Tested 2 - 1- oS-
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician k.e 0
/