HomeMy WebLinkAboutMech Permit 06-0387
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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ADDRESS
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Date Rec'd
i~':' ~l~, I PERMIT NO. 0/- 030 1
3. Y.llow Apphcant C.R' . C/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT /Y BLOCK (ADDITION {)'lj j(. 1< I do"o, cL + / s+-
- ,-
. OWNER \
(Name) V () N--n
(Address) s-q~ d-- j:::'/ u+'\.cl J-tLk
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(!,J" S' E
APPLICANT
(Name)
BURNSVILLE HEATING & AlC INC.
34~ i VV, l:SurnSVllle Parkway
Suite 120
~ Burns~~ 55337
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(Address)
(Contact Person)
APPLICANT SIGNATURE
PIDd 5 -'D 83 - 01 t/--O
. (Phone) q~~ Y~d 9/d-")
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(phone) C/O' d-t'7f/~c::t:J r
(City)
(Zip Code)
(Phone) q .s- d- J' c?Y" CJOcJ r-
DATE $-J6-o<:
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION [)$EPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL l~ nO?< G'64 ul+V ~ {, (1 - oC;O . FUEL A.J..q r G A. r
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
nGravity
: Mechanical
iQAir Conditioning .;J.. ~-T"l> '1
OVent. System,
HEATINGORPO~RPLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices I I Required Side Yard
~Other Devices 6~ra.l4 i ~tfJ414tl.fJr.. _Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
;--- ;5 Application Becomes Your Building Permit When Approved
,
Building Official
Date
$
$
$
37 S~
.50
4), 00
Paid / /,
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Dat6 - ! q - h
Rec~/q5S-
By ~.J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
. 'f OF PRIOR LAKE
INSPECTION NOTICE
074bT'ME
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SCHEDULED
ADDRESS S9'S.2
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ ~SP'7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
[J FINAL
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.,;:rMECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
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~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL OR 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
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BpHN~ .-rIIiLJ!i'
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378 · 952-894-0005
Ors1at Test Report for Jobl ~ 7'b ()
Address 51 c;d ({end I~[lw
Occupant Jl) h ~ An S-el-1
Da1e'bUns1al1 L ---I f---()~' .
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Space HT
Unit HT
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M~""'~'.b C9 oUd-V '3 b t$--o?v
<-Serial ~YO"Cn 4C> /'?
Input 7~/ 0 ~ \).
Pilot Type HOT SURFACE IGNITOR-'
Pressure 7 ~S- C02'" :?
Input CFH '1 q" 00' 02 7. g
S1ackTemp 3//0 CO /)-f'Pf'V'
Date Tested ~~/ y-o "
Company BURNSJJI/:.LE HEATING & AIR CONDITIONING
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