HomeMy WebLinkAboutMech Permit 05-1105
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~::y I PERMIT NO. Os: //~ 5
Applicant
(Please type or print and siJtll at bottom)
ADDRESS
ZONING (office use)
5700 MAVES TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
~ame) JEFF & RENE SCHEURER
(Phone) 952-440-5163
(Address) 5700 MAVES TRAIL
APPLICANT
~ame) RON'S MECHANICAL, INC.
(Phone)
952-445-8585
(Address) 12010 OLD
BRICK YARD
(Address)
lihM
-~ .
RD
~ H!KO.P F. F.
(City)
M1\T
SS~79
(Zip Code)
(Contact Person)
(Phone)
DATE
/,-, PPLICANT SIGNATURE
APPLIC NT PLEAS~ COMPLETE BELOW
DNEW CONSTRUCTION ffREPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL \..e,Y\ Y\n)C. G ~ lM.P 3L,Q ~..trl-O FUEL 1J b
FLUE SIZE RETURN OPENINGS INPUT =jD,(t)O OUTPUT (OL\, "'DO
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir 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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 1.. 'bDO
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .?J~. ff)
$ .50
$ 4Q.O U
,flee Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Building Official
Date
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
S?tO ~U~
OWNER
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
c:lii-MECH FINAL
DATE TIME
~~)
,~-//~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~~ATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~';?..trR 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
INSNOTl
HOU~ HiTING TEST RECORD IJ i,
ADDRESS~7l17 .Ifl/1//("..} 7Jd.~ APT. .~~3;)TYrl.f, jUBURB
OCCUPANT. I.. ~ _OWNER ~~__~,jfO~
HEAT LOSS. ,1 : s.- E G.~.II"'/I-dlf /J _ -:4 0 --
SOLD BY A'I-~.I: _ -~/ ~INSTALLED B~ -/'ilJ.P. ~ ;~~ /pe-'
Electrical Work By. ~.4; (?/ _ Gas Line By _
TYPE OF HEAT GA FA ~HW STEAM SPACE HTR. UNIT HTR. OTHER _
GAS DESIGN
MAKE
MocIel
,tt;'
Serial ~ ~
INPUT - (JI /1/1
. /
THERMOSTA.~~~':'
Valve iPd IJ.,I "" / 7' -
Limit /- / /
Limit Setting r. t. ":C ti/ -
Fan Setting r~ t 1- / )
Pilot Type / / J /' 1.../
Pilot Make L1.....f ..:J~I! t./
Pilot Moclel /7P7'
/ '
Pilot Timing
L. W. Cut Off __
Pre..ure _ r ~, 6 --
," Input CFH....D" ,()(/
: Stack Temp. '.1 (J"'S'
" Form 235
MAKE OF BURNER
Moclel
Max. BTU Rating
MAKE OF FURNACE
Moclel
CONV)::/
/
\-
Vent Size
tf
;/
/I/(!/
KIND OF LINER SIZF
Draft Hood . Regula,or
F,b._ .,.. /"',7.J;t~r'
Chimney Location Insi
Chimney Construction _ "'F ,-'. Jl!5..5
NONF
-
/
;fid~
Smoke Bomb y/ Wiring _ . /
Draft .Test Tag
Door Pressure V. _ ~ing Inst. . /
.P.,....CO, ~~ Oo~T..~d. ~~.~~ '-
Percent O2 Company TestIng ----1 M!;I(!!./
Percent CO . Name of Tester