HomeMy WebLinkAboutMech Permit 06-0100
CITY CF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
2.900
1. Pink File PERMIT NO
2. Green City .orv _ 010 O.
J. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
~(}Ic1 ~( ,5;- .st
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25 02.9 ooi. ()
.. ,. .
OWNER
(Name)
t21J1Jd.
~);// h/L/:I >
(Phone)
o/~J- 44(}~ 7RC:;J>
(Address)
APPLICANT
(Name)
(Address)
SEOOIVICK HfATlNG 6 AIR CONDITIONING LLC
8910 Wentworth Ave.
MinneapoHs. MN 55420
(Contact Person) (952) 881-9000
APPLICANT SIGNATURY" / _4 ~
(Phone)
(City)
(Zip Code)
*b
APPLICANT PLEA COMPLETE BELOW
DNEW co~s~cnON ~!}PLACEMENT. 0 AL TERA nONS
FURNACE MAKE AND MODEL\..~k-M~ -:LI?iJLtJI ~ II- ,1~ 0 FUEL ~
FLUE SIZE h if RETURN OPENINGS INPUT 7~~~ OlU'PUT $4/I72J
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants
OGravity
0Mechanical
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
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
I>>
Estimated Cost $ .J..1 is .....
Building Permit # 0 ,~. 0/00
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~4.~o
. ,50
^M. OIL
'lice Use Only)
Building Official
Date
Paid
4().OO
,
Date - . 0 0 /
2>' I, (0
Receipt N~..57 / {./3
BY~1ltlt
t!
-----
This Application Becomes Your Building Permit When Approved
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
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE
3/9Ab
,. I
C;.." do ;., s
SCHEDULED
~OI.2
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PJJlMBING FINAL
~ECH FINAL
COMMEJ9TS: / /-___
/<e/tJ~ccd /C-y~t:?~
,
/
/V-etA-/
&:1'/ /V ??~
,..r' / . .
~C6~k,~ 75 It;,
. Ie.-
(t.
~t(i)
TIME
~ -/00
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
4~~dX krHq~
KO:.O #/be
Mr-
"
c::J;k.
- / /
d -e L?~-~r /- ,h-..!' ~
4/90 -q~ 7.~
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/~~~ ",/)
/' /)//_ C(/
/ (~~ t:..- I? ' C-
f WORK SA SFACTORY, PROCEED
~ CORRECT AC
ORK, ~A:L F~YEINSPECTION BEFORE COVERING
Inspector: y~ Owner/Contr:
v ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
A
/:-&/""',
'~y
, ,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
_d06 07:58
9528814491
SEDGWICK HEATING
PAGE 81/81
-' "". ~".'..
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH. MINNEAPOLIS. MN 55.420 . (952) eal-S00a
HEATING
TEST RECORD
JOI3 NO.
D 5"'7 I ~_9
ADDRESS ~ 1'2- aNb"W5 9r'AAAf:"p-
OCCUPANT.
SOLD BY T.,Ff-- Ht+vL-
MAl"'" Lr;.II/ti/ov
SERIAL NO. ~t)\. IL1 ( If /PI)"
CITY
PI4f61L
,ANJ'I A-
MODEL
6-ht> Uk -?{A- 0,0
(", O.:J (1 f?17./
INPUT
THERMOSTAT AA- fI~l.1.
VALVE .I.l_ - /?
~J'
VENT SllE _~
TYPE OF LINER ~~
- .....)
LINER SIZE j;.c'i~
, ,
FILTERS; SIZE i I, >C~ )(1.(
NUM8l:R
,:::. -{ 0 rJ
LIMIT
LIMIT SETTING. ~ 't....::3t'F"'
FAN SElliNG I ! ~
1'h#J';-
WIRING
---
PILOT TYPF
IGNITION MODEL~..J- .
PILOT TIMING ;f~
PRESSUAE':?5" 'iJe-
INPUT CFH t~{Ynfi:1U
STACK TEMP. ~~
--
TEST TAG
PERCENT CO,
'9
~
LIGHTING INST.
DATE TESTED .~ - 9--Ot
COMPANY TeSTIN~~
NAMEOFTESTERd:~~
FORM Dt9TRIB~ON: W1-tITE COPY . J08 FILE
VELLOw OOPV. ClTV
PERCI':NT O2
FOAM 295 IRI<V 11189\
. PEROENT CO ~
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