HomeMy WebLinkAboutMech Permit 06-0078
Date Rec'd
(Please type or orint and si2ll at bottom)
ADDRESS
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~.:;:o ~~;. I PERMIT NO.~ / - 7g
1 Yellow Apphcant (/ ( 1"'
ZONING (office use)
LEGAL DESCRIPTION (office use only) / /
LOT .s;LOCK ADDITION Q/J - A /VWI/0 ,/(WI/I1 ~ PID DlS - () q - (JO!,j:-O
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(Address) ~_
APPLICANT
(Name)
(Phone)
SEDOWICK HtATlhu G& AIR CONDITIONING LLO
8910 Wentworth Ave.
Minnef.lJJGtis, MN 55420
(952) 881-9000
(Contact Person) /
"-APPLICANT SIGNATURE- / t#l1/.t:lA .6
(Address)
(City) (Zip Code)
~A
APPLICANT PLEA E COMPLETE BELOW
DNEW CON~CTION IX! REPLACEMENT D AL TERA TIONS
FURNACEMAKEANDMODEL~J/f/-, ~~lLiil/~BtJ40 FUEL ~
FLUE SIZE ~ II RETURN OPENINGS INPUT tf~t?L>b OU~UT ~/XJtJ
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
J ~~ -bt:,
~ arm Air Plants 0 Steam
DGravity 0 Hot Water
~echanical 0 Radiation
li2f7\ir Conditioning 0 Special Devices
nJt1 OVent. System 0 Other Devices
~ MAKE AND MODEL ~ / J IH'I' LJJo
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
~iL~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penn it #
J~(b
r .50
~
$
$
$
lice Use Only)
This Application Becomes Your Building Permit When Approved
Bnilding Official
Date
Paid Llt).-
Date ~ I
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Receipt No. ".-1
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By
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
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PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
COMMENT$-: /'
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~?R REI~PECTION BEFORE COVERING
Inspector: / fA ~ Owner/Contr:
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CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTI
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SEDGWICK HEATING & AIR CQNDITI'ONJNGCO. ,. , tTESHTEARJEICNOGRD
8910WI!NIfWORTI"I'lIWE~~TH . MINNEAPOLlS,"M~5420 .~2) 881:"~OOO}:). .~ >
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ADDRES~ /(;7/0 . tl NIl." P-1 -r; 14 ~ I. J ~ 'I. C;~-:-' ''K-:::-;
OCCUPANT cl^", 'r ,vL, i?ob.. y-f Fvr /> -te "'1 J;'-1 r 1;: L ~
SOLD BY /I) (1 II'" /VCl., "./
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MAKF
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MODEL
SERIAL NO,
S~ IX-(/) ;;J 5 i_I Lu V
INPUT
THERMOSTAT V F:?'O{?c:o
VALV~ //~~~dJl
LIMIT l~J
LIMIT SETTI~ ,J 0 () -S () 0 F
FAN SETTING """'r/I"h /)'] ,o!
1O:~
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L/ I,:
TYPe OF LINER " rs ..~, i
LINER SIZF ~ ! '
FIL.TERS: SIZE J '/_0 'I ~y:.::: /- L.\.
NUMBER
F \uO
VENT S17~
..,dI''''';(
WIRING
17 / P-n.--f.
)(5/
( (
PILOT TIMING ~ Sf \
PRESSURE 3 ~ 5" iI WJ' ,
INPUT CFH _ q D
-=< (( 'I " r
STACK TEMP. ...) LI r
PILOT TYPE
TEST TAG
IGNITION MOn~1
-
--,,,-; LIGHTING INST,
o Y\rl <:.
PERCENT CO2
(V") CJ /
7'i / t.>
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D~tE TESTED..[/:)~'-- /0 IJ?
C~~PANY TESTING <::, o,-J,S vJ (' k
NAME OF TESTER -J;;,;t (/J Du!)
FORM DIST~IB~T10N HITE COpy - JOB FILE
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YELLOW COPY - CITY
PERCENT O2
PERCENT CO _
FORM 235 (REV. 11/89)