HomeMy WebLinkAboutMech Permit 04-1116
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APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor AIR MASTERS, INC.
Name of Tester ~ /
Date ~-L!K ..0(/
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Job Address /42!?7 ttJv~
Heating Contractor AIR MASTERS, INC.
Name of Tester ..J:::1i1::t '
Date /fJ-/Y-cJfI
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Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is a~('UPPlied per
UMC Sec. 606
input )
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CITY OF PRIOR LAKE
tlEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/05
~~::w El~icanl I PERMIT NOO i/ - / / J b
(Phone) 9\..2 .y~7 c/~
'ase tYPe or print and sign at ;"v....,_)
JDRESS
)&J;)7 2)~./JJ-b)0 ~
LEGAL DESCRlPTION (office use only)
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LOT.5 BLOCK d- ADDITION IL/~ru~ ~
OWNER
(Name)
(Address)
XaM-~.
/f.:,J). 7
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2)/~~ )dc/l //
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APPLICANT r J. _ ~
(Name) U~ /Yh~1 ~h / .
(Address)5rf(~ - /t:/911- (94-J "70/
(Address)
RI_ ~"
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I L-/
(Phone) q(,J
all.
(City)
(Contact Person) ~QCt
APPLICANT SIGNATURE
(Phone)
DATE
Date Rec'd
ZONING (office use)
PIDdff.... 2L/R-o I'd -10
V,3/ ,)93~
SS"/c:2C/
(Zip Cocte)
/;)//Phcr
APPLICANT PLEAS~ COMPLETE BELOW
DNEW CONSTRUCTION !2rREPLACEMENT 0 AL TERA TIONS
URNACE MAKE AND MODEL jQLAlAd- I {f,-f/Jk. rfl6~rJ. FUEL ~
FLUE SIZE RETURN OPENINGS INPUT. 7o/u) OUTPUT
Paid tf () , -- RecZ/RJ/ /
Date / tJ -.? '7 -eLl By 4"'-
0- -,
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TYPE OF SYSTEM
oWarm Air Plants
o Gravity
g-Mechanical
oAir Conditioning
oVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ d' y i )---
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~\1)
$ .50
$ t.,tJ1J /'
(Office Use Only)
e~-I This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
DATE TIME
SCHEDULED . ~fh'
/br'.;t7 ~//4c,v k.
CITY OF PRIOR LAKE
INSPECTION 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
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
COMNU;NTS:/ /' ~
&LJhC&:d /z:,r4Qc.,.
, /
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector: ~ ~Owner/Contr:
~/
C/fL
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
/IiVIOT1