HomeMy WebLinkAboutMech Permit 05-1089
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
/tJ. ze.Os
~. ~:n ~:~ . PERMIT NO.OS. /0 aa I
3. Yellow Applicant 07
(Please type or print and sign at b~..u~)
ADDRESS ZONING (office use)
15212 FISHPOINT RD SE
LEGAL DESCRu' lION (office use only)
LOT
BLOCK
ADDITION
PID zs:. 039. () 09. 0
OWNER
(Name)
DAVID BAKKE
(Phone) 952-447-4041
(Address)
15212 FISHPOINT RD SE
APPLICANT
(Name) RON I S MECHANICAL. INC.
(Phone) 952-445-8585
(Address) 1 ?()1 () ()T.n ~RT("J{ v~n Rn
.. (Address)
(Contact Person) L,ron.
- >~"PPLICANT SIGNATURE ~ ~
APPLIC NT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [31ffiPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL 'R LU.AD llli P N O::r FUEL ;Vb
FLUE SIZE RETURN OPENINGS INPUT .3:0.000 OUTPUT ,filP. bOO
, .
TYPE OF SYSTEM HEATING OR POWER PLANT
C::J..fl1J{()P'J:''J:'
(City)
Ml\T
l:il:i~7Q
(Zip Code)
(Phone)
DATE
OWarm Air Plants
OSiravity
~Mechanical
OAir 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
I 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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~q.g)
$ .50
$ 4{) f)D
lice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 10 __
I Dati I. Z'l~,Qr-
Receipt No. .5'()3};/
By -"
rJ
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
DATE nME
SCHEDULED w94s-
, r
4L~r
'":
,
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
/S.2/2
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
S -/oF'?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COM~TS: ~ I"
/<:'~ J/JA.C", r! ~r~e2'~~~
, ;{ .
'h/7 ,.7 / --
/P'~ /Gvv 1 /7:1 rh.qc-~:
,L/;y-,__"c (/~.I-
;' /
Or(C:;; -;-- ~rr
.
--
I"
b~~Lt,1'_A
.- .., . .
~ / /'..
{ --4Pt 60s n ~4
7#
/~r
./
~. I
1'( M~ I
~/
U/"--
"'
vi
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, :~L; ,YEINSPECTION 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!
HOUSE HEATING TEST RECORD
ADDRESS
OCCUPANT.
HEAT LOSS. DATE HTG. INST.
SOLD BY (4 ^ J+-'" r /\" '-Art
Electrical Work By _ JJn I.t!J,.--l" ....... <:.-'
TYPE OF HEAT GA FA )( HW
GAS DESIGN
INSTALLED BY . l~o N IS
Gas Lin_ By _
SPACE HTR.
APT. _
_OWNER
i I - ?. ~ --y") <r
STEAM
MAl( E R V\ v. 0
Mod. I ~ l"7 PN - (") -ufb(VI t;J(
Serio I t;"' V\ ~ f\ "< 0 ;) C' 3 5 D -.s 0 J'i.Qcj
INPUT J 0, no 0
THERMOSTAT
Valve
Limit
Limit Setting
Fan Setting _
Pilot Type
Pilot Make
Pilot Mad.1
Pilot Timing
L. W. Cut Off
CONTROLS
{),'.- i.f.. / . Heat Plug
/
..t~. -0
' x.C
'C
( p(~ R.. k.
?
/ -=-
Pressure-.3, 4 {"" Percent CO2
Input CFH } ", /) ~ Percent O2
Stack Temp. 3 (~ ~. r _ Percent CO
Form 235
82.7/0
EPP-
MAKE OF BURNER
Mad.1
Max. BTU Ratinll
MAKE OF FURNACE _
Model
IJ "
Vent Size .,
KIND OF LINER
Draft Hood _
Filters
A 11.4 "'^
FLOOR.
CITY p. L. SUBURB
I/llipc t, ..... ~ "C c., i
UNIT HTR.
OTHER _
CONVERSION
/'1'
SIZE
(" ,.
NONF
RegulaTor
Size .-J/oJ{ 20 ~Numb_r
Chimney Location Inside
Chimney Construction
_ Outsid_
Smoke Bomb \. _ Wiring.
~~. P,...~. /t - ~~::.~:: ,.,,)/'
), ~-/o Dote Tuted 11- 'l. '3 - 0) Af'.
., C. 9~ Company Testinll _ r~..o N'''' IVkc.h...."'\"C....J
(_ ppV"'\ Name of Tuter S--...... tt~C\+e.r