HomeMy WebLinkAboutMech permit 05-0944
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
9.20.0E:"
~.~;, ~!~. I PERMIT NO. 0"-:- OOA'.A-
3. Yellow Apphcant ::;7 . 7..,.-.r-
(Please type or print and sign at bottom)
ADDRESS
14222 ASPEN AV NE
ZONING (office use)
LEGAL DESCR.1.t'uON (office use only)
LOT
BLOCK
ADDITION
PID.?b. Z.O~. OZO. 0
OWNER
(Name) DUANE CROOM
(Phone) 952-403-1778
(Address) 14222 ASPEN AV NE
APPLICANT
(Name) RON'S MECHANI CAL, I NC .
(Phone) 952-445-8585
(Address)
MN
55379
(Zip Code)
12010 OLD BRICK YARD RD SHAKOPEE
(Address) (City)
(Contact Person) L\nw _ (Phone) 952-445-8585
~.---4pPLICANTSIGNATURE d1~ {Q..t~ DATE
APPLIC~T PLEAS} COMPLETE BELOW
DNEW CONSTRUCTION E:]'REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~u,u.1> UJ.~~\(ao FUEL N (-1J
FLUE SIZE RETURN OPENINGS INPUT ~ OUTPUT !J51 '2f:i)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OG Ity
chanical
Air 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
I % 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)
Estimated Cost $ hOD 0
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
?f1. .g)
.50
40.02
.fice Use Only)
Building Official
Date
Paid 4'f)-
Date'1U.~'
Receipt NOH' I ~
By ~.
rf
This Application Becomes Your Building Permit When Approved
24 hour notice for aU inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TI~
SCHEDULED /tJ1p{s-
AL7-e'" ~('
/
CONTR.
ADDRESS
/C/.2J.-2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
S--9~r
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CO~YN~S~~ _. . r ,/ I/J'. /"
T~ YVrd~re- .f ~/C
AZlU <r:~~~r-- e~d
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L;;~~r:PK . At-' ~r
~~ ~*-r ~h
/
J'y? v
, t/~
///~ / /~I
?/i~~ L
g<
~ORKSATlSFACTORy,PROCEEO
~ ~ORRECT ACTION AND P. OCEEO
o CORRECT WORK, L 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
INSNOTI
,
ADDRESS
OCCUPANT
HEAT LOSS
SOLD BY
Electrlcel Work By
TYPE OF HEAT GA
~D
APT. Fl.OOR
OWNER
I
CITY I!~ . SUBURB
DATE HTG. INST.
FA .JL:::. H W
STEAM
INSTALLED BY
Ga. Line By
SPACE HTR. UNIT HTR.
OTHER
~ GAS DESIGN
MAK E I/i
Model --1.J I( " -c::> (iJ E fI1 tr e 5..
Serial .!..t9-/J 7(\c? F'''' 't-O~.~~g'"'~
INPUT C) /~r}
, -
MAKE OF BURNER
Model
Mo.. BTU Rating
MAKE OF FURNACE
Model
CONVERSION
~
X
/ '\.
..........,
CONTROLS
THERMOSTAT
Val.e
Limit
Limit Se"ing
Fan Setting
Pilot Type
Pilot Moke r_.r.(JJ/A .i-
Pilot Model ~~ R" Smoke Bomb \ -- Wiring l"""-
Pilat Timing Draft V Tnt Tag '(
L.W. Cut Off . Door Pre..ure ./\... Lighting In.t.!'"
Pre..ure 7..;l-f I Percent CO2 ~/f/ Date Te.ted ' 1L57/J ~
:-Input CFH ~.c~~ Percent 02~.:' '! Company Te.tlng :~N>
.Shlck Temp. tfa.J Percent CO --1t:f-7 f/J'1Nome of Tnter (J41l/..
Form 235
Heat Plug
Vent Size
;l'(
\...
~
---
SIZF
---1<<>N F
---
J]::; r-[:;/
. { I\. I
KIND OF LINER
Draft Hood
F lite..
Size --
Reguloilrr _
, umb ,.----
I"p~ Out.ide
"
Chimney Location
Chimney Construction